NPI 1164902847

Melissa Jo Casper

Practitioner Dental Hygienist Minneapolis, MN

Practice location

Address: 636 Broadway St NE, Minneapolis, MN 55413-2151
Phone: (612) 746-1530

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H9705 (MN)

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Registry record

NPI: 1164902847
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

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.