Individual provider · Type 1 NPI
Tracy Leysen
Dental Therapist · Windom, MN
Practice location
820 2nd Ave N Ste 2
Windom, MN 56101-1766
Mailing address
1860 Murray Ave
Slayton, MN 56172-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Therapist Primary | 125J00000X | DT196 (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…
Another provider at this address
About NPI 1649196551
Tracy Leysen's National Provider Identifier is 1649196551, issued on Jun 25, 2026. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Windom, MN. The record was last updated on Jun 25, 2026.