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NICOLE MATHEW DT
NPI 1073013322
Dental Therapist in Minneapolis, MN

Active since February 13, 2018
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413(612) 746-1530(612) 746-1531 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Mathew Dt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MATHEW DT (NPI 1073013322) is an individual dental therapist in Minneapolis, Minnesota, licensed in Minnesota (DT96) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1073013322
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameNICOLE MATHEWCredential: DT
Location Address636 BROADWAY ST NEMinneapolis, MN 55413-2164
Mailing Address636 Broadway St NeMinneapolis, MN 55413-2164 · (612) 746-1530 · Fax (612) 746-1531
Phone(612) 746-1530
Fax(612) 746-1531
Sole ProprietorNo
Enumeration DateFebruary 13, 2018
✔ NPI 1073013322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT96
Definition

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.

636 BROADWAY ST NE, Minneapolis, MN 55413
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AZAR HEMMATY D.D.S.
Dentist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
PROF. PHUONG KIM DO D.D.S.
Dentist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
CLAIRE O MIELKE D.D.S.
Dentist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
DR. NANCY NHU QUYNH LAM D.D.S
Dentist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MRS. MARY DOBERSTEIN B.S., G.D.H.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
MRS. JENNA LINDEN R.D.H., B.S., R.F.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
DEBBIE BERNIER R.D.H., B.S.
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1530
LAKESHA BELLANTI RDH
Dental Hygienist
636 BROADWAY ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 746-1531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mathew's NPI number?

The NPI number for Nicole Mathew is 1073013322. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Nicole Mathew located?

Nicole Mathew practices at 636 Broadway St NE, Minneapolis, MN 55413. The listed phone number is (612) 746-1530.

What is Nicole Mathew's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Nicole Mathew was last updated on February 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.