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LEAH LOEHNDORF MDT NPI 1245687821


NPI Information

NPI: 1245687821
Provider Name: LEAH LOEHNDORF, MDT
Classification: Dental Therapist - 125J00000X
Entity Type: Individual
Address:
4128 2ND ST S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 774-2556
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Leah Loehndorf, MDT is a dental therapist in Saint Cloud, MN. The provider is 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 therapist and state dental practice acts and regulations. Leah Loehndorf, MDT NPI is 1245687821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4128 2ND ST S
SAINT CLOUD, MN
ZIP 56301-704
Phone: (320) 774-2556
Fax: (320) 774-2559

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1125J00000XDental TherapistDT54MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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