Megan Becker, MDT
Dental Therapist in Maple Grove, MN. Individual provider (NPI-1).
NPI number1013395136
StatusActive
Last updated in NPPESMay 8, 2015
Details
- NPI
- 1013395136
- Entity type
- Individual (NPI-1)
- Name
- Megan Becker
- Credential
- MDT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2015
- Last updated
- May 8, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT58 | MN | Yes |
Practice location
12936 63rd Ave NMaple Grove, MN 55369-6001
Phone 763-559-3400
Mailing address
8196 Shadyview Ln NMaple Grove, MN 55311-1700
Phone 763-913-9441
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Other Dental Therapist providers in Maple Grove, MN
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