Individual provider · Type 1 NPI

Bria Kaiser-Banken, ADT

Dental Therapist · Maple Grove, MN

NPI number 1932504651 Active

Practice location

12936 63rd Ave N
Maple Grove, MN 55369-6001

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT42 (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 1932504651

Bria Kaiser-Banken, ADT's National Provider Identifier is 1932504651, issued on Oct 23, 2014. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 23, 2026.