NPI 1063146553

Melissa Durbin, DENTALTHERAPIST

Practitioner Dental Therapist Fairmont, MN

Practice location

Address: 800 Medical Center Dr STE 490, Fairmont, MN 56031-4575
Phone: (612) 812-9052

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT144 (MN)

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Registry record

NPI: 1063146553
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2022
Record last updated: 12 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.