MRS. BRIEANNE KELSEY BORNTRAGER ADT
NPI 1073872503
Advanced Practice Dental Therapist in Savage, MN

Active since May 03, 2012
13899 HWY 13 S FRNT RD, SAVAGE, MN 55378(763) 218-0597 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Brieanne Kelsey Borntrager Adt NPPES

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

MRS. BRIEANNE KELSEY BORNTRAGER ADT (NPI 1073872503) is an individual advanced practice dental therapist in Savage, Minnesota, licensed in Minnesota (DT15) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1073872503
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameMRS. BRIEANNE KELSEY BORNTRAGERCredential: ADT
Location Address13899 HWY 13 S FRNT RDSavage, MN 55378-2135
Mailing Address13899 Hwy 13 S Frnt RdSavage, MN 55378-2135 · (763) 218-0597
Sole ProprietorYes
Enumeration DateMay 3, 2012
Last NPPES UpdateApril 7, 2016
NPI 1073872503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in MN · DT15
Definition

An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/><br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.

13899 HWY 13 S FRNT RD, Savage, MN 55378

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dental Therapist
13899 HWY 13 S FRNT RD
SAVAGE, MN 55378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073872503, enumerated as an "individual" on May 03, 2012.

The provider is located at 13899 HWY 13 S FRNT RD SAVAGE, MN 55378 and the phone number is (763) 218-0597.

Advanced Practice Dental Therapist with taxonomy code 125K00000X.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.