MR. DREW JAMES CHRISTIANSON MDT
NPI 1164836334
Advanced Practice Dental Therapist in Maple Grove, MN

Active since June 16, 2014
12936 63RD AVE N, MAPLE GROVE, MN 55369(763) 559-3400 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2022, Jan 31, 2022, Feb 14, 2017 (3 updates tracked since 2017).

About Mr. Drew James Christianson Mdt NPPES

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

MR. DREW JAMES CHRISTIANSON MDT (NPI 1164836334) is an individual advanced practice dental therapist in Maple Grove, Minnesota, licensed in Minnesota (DT45) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1164836334
Entity TypeIndividualMale
Primary Taxonomy125K00000X
Provider Legal NameMR. DREW JAMES CHRISTIANSONCredential: MDT
Location Address12936 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12936 63rd Ave NMaple Grove, MN 55369-6001 · (763) 559-3400
Sole ProprietorNo
Enumeration DateJune 16, 2014
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1164836334 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 · DT45
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.

Also ListedDental TherapistTaxonomy 125J00000X · License DT45 (MN)
12936 63RD AVE N, Maple Grove, MN 55369

Other Providers at the Same Location NPPES 4

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

Dental Therapist
12936 63RD AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
12936 63RD AVE N
MAPLE GROVE, MN 55369
Clinic/Center (Dental)
12936 63RD AVE N
MAPLE GROVE, MN 55369
Dental Therapist
12936 63RD AVE N
MAPLE GROVE, MN 55369

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 Drew Christianson's NPI number?

The NPI number for Drew Christianson is 1164836334. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Drew Christianson located?

Drew Christianson practices at 12936 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 559-3400.

What is Drew Christianson'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 Drew Christianson was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.