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PETER ROLAND DEGALLIER DENTAL THERAPIST NPI 1124663109


NPI Information

NPI: 1124663109
Provider Name: PETER ROLAND DEGALLIER, DENTAL THERAPIST
Classification: Dental Therapist - 125J00000X
Entity Type: Individual
Address:
720 E HIGHWAY 61
WINONA, MN
ZIP 55987
Phone: (507) 452-9453
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Peter Roland Degallier, DENTAL THERAPIST is a dental therapist in Winona, 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. Peter Roland Degallier, DENTAL THERAPIST NPI is 1124663109. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 E HIGHWAY 61
WINONA, MN
ZIP 55987-300
Phone: (507) 452-9453

The enumeration date for this NPI number is 11/13/2019 and was last updated on 11/13/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1125J00000XDental TherapistDT117MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497784342OTHERMINNESOTANPI
21801957758OTHERMINNESOTANPI
31992930556OTHERMINNESOTANPI

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: 5/5/2024

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