Individual provider · Type 1 NPI
Taylor Rae Mielke, RDH, MDT
Dental Therapist · Hinckley, MN
Practice location
210 Old Highway 61 S
Hinckley, MN 55037-8375
Mailing address
9380 460th St
Harris, MN 55032-3015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | H11987 (MN) |
| Dental Therapist Primary | 125J00000X | DT179 (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 1780574723
Taylor Rae Mielke, RDH, MDT's National Provider Identifier is 1780574723, issued on Jul 9, 2025. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Hinckley, MN. The record was last updated on Jul 9, 2025.