Individual provider · Type 1 NPI

Andrea L. Jordan, A.D.T.

Dental Therapist · St. Paul, MN

NPI number 1912331265 Active

Practice location

895 7th St E
St. Paul, MN 55106

Call (651) 602-7500 Map

Mailing address

366 Hall Ave
St. Paul, MN 55107-1132

Other practice locations

  • 636 Broadway St NE, Minneapolis, MN 55413-2164 · (612) 746-1530

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XH5837 (MN)
Dental Therapist Primary 125J00000XDT28 (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 1912331265

Andrea L. Jordan, A.D.T.'s National Provider Identifier is 1912331265, issued on Aug 22, 2013. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 21, 2018.