Individual provider · Type 1 NPI

Kaitlyn Jean Niemann, RDH, DT

Dental Therapist · Minneapolis, MN

NPI number 1780436485 Active

Practice location

636 Broadway St NE
Minneapolis, MN 55413-2164

Call (612) 746-1530 Map

Mailing address

6478 Stillwater Blvd N
Oakdale, MN 55128-3716

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT175 (MN)
Dental Hygienist 124Q00000X11634 (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 1780436485

Kaitlyn Jean Niemann, RDH, DT's National Provider Identifier is 1780436485, issued on Apr 4, 2024. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 15, 2024.