Emily Rae Dickinsen, DT
Dental Therapist in Savage, MN. Individual provider (NPI-1).
NPI number1780257212
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1780257212
- Entity type
- Individual (NPI-1)
- Name
- Miss Emily Rae Dickinsen
- Credential
- DT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT140 | MN | Yes |
Practice location
14393 Hwy 13 SSavage, MN 55378-2153
Phone 952-440-2292 · Fax 952-440-2935
Mailing address
14393 Hwy 13 SSavage, MN 55378-2153
Phone 952-440-2292 · Fax 952-440-2935
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