Individual provider · Type 1 NPI

Chee Lor, DENTAL THERAPIST

Dental Therapist · Minneapolis, MN

NPI number 1619606845 Active

Practice location

728 E Hennepin Ave
Minneapolis, MN 55414-1126

Call (612) 746-1530 Map

Mailing address

7024 Halifax Ave N
Brooklyn Center, MN 55429-1374

Other practice locations

  • 636 Broadway St NE, Minneapolis, MN 55413-2164 · (612) 238-0217

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT143 (MN)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

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About NPI 1619606845

Chee Lor, DENTAL THERAPIST's National Provider Identifier is 1619606845, issued on Jun 4, 2022. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 4, 2022.