MRS. SHANA MARIE BUERCK LDH, DT
NPI 1265213441
Dental Therapist in Mounds View, MN

Active since October 12, 2023
2442 COUNTY HWY 10, MOUNDS VIEW, MN 55112(763) 316-5400 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Shana Marie Buerck Ldh, Dt NPPES

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

MRS. SHANA MARIE BUERCK LDH, DT (NPI 1265213441) is an individual dental therapist in Mounds View, Minnesota, licensed in Minnesota (DT159) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1265213441
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameMRS. SHANA MARIE BUERCKCredential: LDH, DT
Location Address2442 COUNTY HWY 10Mounds View, MN 55112
Mailing Address108 Bichner LnMahtomedi, MN 55115-6810 · (651) 983-1429
Sole ProprietorNo
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 11, 2023
NPI 1265213441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · DT159
Definition

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.

2442 COUNTY HWY 10, Mounds View, MN 55112

Other Names 1

Former Name (1)Ms. Shana Marie Atkinson Ldh

Other Providers at the Same Location NPPES

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

Dentist
2442 COUNTY HWY 10
MOUNDS VIEW, MN 55112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265213441, enumerated as an "individual" on October 12, 2023.

The provider is located at 2442 COUNTY HWY 10 MOUNDS VIEW, MN 55112 and the phone number is (763) 316-5400.

Dental Therapist with taxonomy code 125J00000X.