KRISTY LYNN DEROSIA R.D.H
NPI 1851640478
Dental Hygienist in Duluth, MN

Q: What is Kristy Derosia's NPI number?

The NPI number for Kristy Derosia is 1851640478. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Kristy Derosia's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Derosia was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 29, 2012

1420 LONDON RD, SUITE 206, DULUTH, MN 55805(218) 481-7474(218) 789-4150 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristy Lynn Derosia R.d.h NPPES

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

KRISTY LYNN DEROSIA R.D.H (NPI 1851640478) is an individual dental hygienist in Duluth, Minnesota, licensed in Minnesota (H4727) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1851640478

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameKRISTY LYNN DEROSIACredential: R.D.H

Location Address1420 LONDON RD, SUITE 206Duluth, MN 55805-2433

Mailing Address1420 London Rd, Suite 206Duluth, MN 55805-2433 · (218) 481-7474 · Fax (218) 789-4150

Phone(218) 481-7474

Fax(218) 789-4150

Sole ProprietorNo

Enumeration DateAugust 29, 2012

Last NPPES UpdateJune 25, 2015

✔ NPI 1851640478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

Licenses✔ Licensed in MN · H4727✔ Licensed in WI · 10916-016

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1420 LONDON RD, Duluth, MN 55805

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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.

DR. ANDREW BAERTSCH MD

Plastic Surgery

1420 LONDON RD, SUITE 101
DULUTH, MN 55805

St. Louis County (218) 724-7363

DONALD W GABBERT CRNA

Nurse Anesthetist, Certified Registered

1420 LONDON RD, SUITE 100
DULUTH, MN 55805

St. Louis County (218) 728-8508

LISA MARIE MCINALLY DPT

Physical Therapist

1420 LONDON RD, SUITE 102
DULUTH, MN 55805

St. Louis County (218) 728-3774

TONYA BENZIE O.T.R./L., C.H.T.

Occupational Therapist (Hand)

1420 LONDON RD, SUITE 102
DULUTH, MN 55805

St. Louis County (218) 728-3774

ANDREW DANIEL MESSA MD

Plastic Surgery

1420 LONDON RD, SUITE 101
DULUTH, MN 55805

St. Louis County (218) 724-7363

BRUCE D NIELSEN CRNA

Nurse Anesthetist, Certified Registered

1420 LONDON RD, SUITE 100
DULUTH, MN 55805

St. Louis County (218) 728-8508

KARA KOLQUIST STOKKE P.T.

Physical Therapist

1420 LONDON RD, SUITE 102
DULUTH, MN 55805

St. Louis County (218) 728-3774

WOLVERINE ANESTHESIA, LLC

Anesthesiology (Pain Medicine)

1420 LONDON RD, SUITE 100
DULUTH, MN 55805

St. Louis County (218) 728-8548

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 Kristy Derosia's NPI number?

The NPI number for Kristy Derosia is 1851640478. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Kristy Derosia located?

Kristy Derosia practices at 1420 London Rd Suite 206, Duluth, MN 55805. The listed phone number is (218) 481-7474.

What is Kristy Derosia's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kristy Derosia was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.