Individual provider · Type 1 NPI

Kaci Theurer

Dental Therapist · Mankato, MN

NPI number 1922980879 Active

Practice location

309 Holly Ln
Mankato, MN 56001-5422

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XH11781 (MN)
Dental Therapist Primary 125J00000XDT181 (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 1922980879

Kaci Theurer's National Provider Identifier is 1922980879, issued on Jul 22, 2025. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Mankato, MN. The record was last updated on Jul 22, 2025.