HEALTHY TEETH CLUB
NPI 1093044869
Dental Hygienist in Grasston, MN

Active since December 08, 2009
13410 CANALVILLE LANE, GRASSTON, MN 55030(651) 894-4391 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Healthy Teeth Club NPPES

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

HEALTHY TEETH CLUB (NPI 1093044869) is a healthcare organization registered as a dental hygienist in Grasston, Minnesota and active in the NPI registry since December 2009. The organization lists Rebecca Lynne Fahning, Dental Hygienist, as its authorized official.Information from the official NPPES registry record, last updated December 8, 2009.

NPPES Registry Identity

NPI1093044869
Entity TypeOrganization
Legal Business NameHEALTHY TEETH CLUB
Location Address13410 CANALVILLE LANEGrasston, MN 55030-2162
Mailing Address13410 Canalville LaneGrasston, MN 55030-2162 · (651) 894-4391
Organization SubpartNo
Authorized OfficialRebecca Lynne FahningDental Hygienist · (651) 894-4391
Enumeration DateDecember 8, 2009
NPI 1093044869 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dental Hygienist

Taxonomy 124Q00000X · Dental Providers

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide… Show more

13410 CANALVILLE LANE, Grasston, MN 55030

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093044869, enumerated as an "organization" on December 08, 2009.

The provider is located at 13410 CANALVILLE LANE GRASSTON, MN 55030 and the phone number is (651) 894-4391.

Dental Hygienist with taxonomy code 124Q00000X.