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LILLY IHA THACH MDT, LDH
NPI 1962374470
Dental Therapist in Crystal, MN

Active since September 23, 2025
331 WILLOW BND, CRYSTAL, MN 55428(763) 762-8916 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lilly Iha Thach Mdt, Ldh NPPES

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

LILLY IHA THACH MDT, LDH (NPI 1962374470) is an individual dental therapist in Crystal, Minnesota, licensed in Minnesota (DT192) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1962374470
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameLILLY IHA THACHCredential: MDT, LDH
Location Address331 WILLOW BNDCrystal, MN 55428-3969
Mailing Address331 Willow BndCrystal, MN 55428-3969 · (763) 762-8916
Phone(763) 762-8916
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1962374470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT192
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.
331 WILLOW BND, Crystal, MN 55428
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MS. MULKI ISSAK HASSAN RDH, DT
Dental Hygienist
331 WILLOW BND
CRYSTAL, MN 55428
Hennepin County (763) 762-8916
CAREPOINT DENTAL CRYSTAL
Dentist (General Practice)
331 WILLOW BND
CRYSTAL, MN 55428
Hennepin County (763) 354-7683

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 Lilly Thach's NPI number?

The NPI number for Lilly Thach is 1962374470. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Lilly Thach located?

Lilly Thach practices at 331 Willow Bnd, Crystal, MN 55428. The listed phone number is (763) 762-8916.

What is Lilly Thach'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 Lilly Thach was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.