LUCKY VANG
NPI 1134637143
Advanced Practice Dental Therapist in Saint Paul, MN

Active since January 12, 2018
409 DUNLAP ST N, SAINT PAUL, MN 55104(651) 290-9200 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 2, 2022, Jan 12, 2018 (2 updates tracked since 2018).

About Lucky Vang NPPES

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

LUCKY VANG (NPI 1134637143) is an individual advanced practice dental therapist in Saint Paul, Minnesota, licensed in Minnesota (DT71) and active in the NPI registry since January 2018. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1134637143
Entity TypeIndividualMale
Primary Taxonomy125K00000X
Provider Legal NameLUCKY VANG
Location Address409 DUNLAP ST NSaint Paul, MN 55104-4201
Mailing Address2228 E Lake StMinneapolis, MN 55407-4321
Sole ProprietorNo
Enumeration DateJanuary 12, 2018
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1134637143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in MN · DT71
Definition
An Advanced Practice Dental Therapist is:
(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
(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.

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.
Also ListedDental TherapistTaxonomy 125J00000X · License DT71 (MN)
409 DUNLAP ST N, Saint Paul, MN 55104

Secondary Practice Location 1

Location 12228 E Lake StMinneapolis, MN 55407-4321 · Phone (612) 886-3270

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.

Internal Medicine
409 DUNLAP ST N
SAINT PAUL, MN 55104
Nurse Practitioner (Psychiatric/Mental Health)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Nurse Practitioner (Family)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Dentist
409 DUNLAP ST N
SAINT PAUL, MN 55104
Dentist (General Practice)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Social Worker (Clinical)
409 DUNLAP ST N
SAINT PAUL, MN 55104
Chiropractor
409 DUNLAP ST N
SAINT PAUL, MN 55104
Physician Assistant
409 DUNLAP ST N
SAINT PAUL, MN 55104

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 Lucky Vang's NPI number?

The NPI number for Lucky Vang is 1134637143. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Lucky Vang located?

Lucky Vang practices at 409 Dunlap St N, Saint Paul, MN 55104. The listed phone number is (651) 290-9200.

What is Lucky Vang's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Lucky Vang was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.