ALEXA NICOLE WEISS LDH
NPI 1255084166
Dental Therapist in Springfield, MN
- Individual
- Female
- Dental Therapist
About ALEXA WEISS
This page provides the complete NPI Profile along with additional information for Alexa Weiss, a provider established in Springfield, Minnesota with a medical specialization in Dental Therapist. The healthcare provider is registered in the NPI registry with number 1255084166 assigned on January 2022. The practitioner's primary taxonomy code is 125J00000X with license number DT145 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1255084166 Verify this NPI
- Provider Name
- ALEXA NICOLE WEISS LDH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 602 N JACKSON AVE SPRINGFIELD, MN 56087
- Location Phone
- (507) 723-4375
- Mailing Address
- 602 N JACKSON AVE SPRINGFIELD, MN 56087
- Mailing Phone
- (507) 723-4375
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2022
- Last Update Date
- 06-28-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dental Therapist
- Taxonomy Code
- 125J00000X
- Type
- Dental Providers
- License No.
- DT145
- License State
- MN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 124Q00000X | Dental Providers | Dental Hygienist | H11217 (MN) |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255084166, enumerated as an "individual" on January 31, 2022.
The provider is located at 602 N JACKSON AVE SPRINGFIELD, MN 56087 and the phone number is (507) 723-4375.
Dental Therapist with taxonomy code 125J00000X.
