EVERAID UBANGOH FOKIM MDT
NPI 1316617491
Dental Therapist in Coon Rapids, MN

Active since September 20, 2021
9920 FOLEY BLVD NW, COON RAPIDS, MN 55433(763) 317-1166 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everaid Ubangoh Fokim Mdt NPPES

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

EVERAID UBANGOH FOKIM MDT (NPI 1316617491) is an individual dental therapist in Coon Rapids, Minnesota, licensed in Minnesota (DT130) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1316617491
Entity TypeIndividualMale
Primary Taxonomy125J00000X
Provider Legal NameEVERAID UBANGOH FOKIMCredential: MDT
Location Address9920 FOLEY BLVD NWCoon Rapids, MN 55433-4579
Mailing Address2312 7th St NNorth St Paul, MN 55109-2845 · (165) 180-8874
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
NPI 1316617491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · DT130
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.
Also ListedDental HygienistTaxonomy 124Q00000X · License H10783 (MN)
9920 FOLEY BLVD NW, Coon Rapids, MN 55433

Other Providers at the Same Location NPPES

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

Dental Hygienist
9920 FOLEY BLVD NW
COON RAPIDS, MN 55433

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 Everaid Fokim's NPI number?

The NPI number for Everaid Fokim is 1316617491. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Everaid Fokim located?

Everaid Fokim practices at 9920 Foley Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 317-1166.

What is Everaid Fokim's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Everaid Fokim was last updated on September 20, 2021. 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.