JENNIFER IACOBELLI (NPI# 1558835942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558835942 |
Entity Type | Individual |
Full Name | JENNIFER IACOBELLI |
Credential | RDH, DT |
Practice Address |
13899 Highway 13 South Frontage Road Savage MN 55378 |
Mailing Address |
7720 Penn Ave S Apt C314 Richfield MN 55423-3669 |
Practice Telephone | 9524402292 |
Practice Fax Number | 9524402935 |
Mailing Telephone | 5862165954 |
Enumeration Date | 2019-01-18 |
Last Update Date | 2019-01-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | DT108 | MN | Dental Providers |
Street Address |
13899 HIGHWAY 13 SOUTH FRONTAGE ROAD |
City | SAVAGE |
State | MN |
Zip Code | 55378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
1164829925 | Cedar Valley Center for Child & Family Therapy | Counselor | 7675 Mn 13 W, Savage, MN 55378 | 2014-11-21 |
Find all providers in zip 55378 |
Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
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. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1184010704 | Karen Bohnen | Dental Therapist | 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 | 2015-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
1346506011 | Lindsey Lee Tischer | Dental Therapist | 205 Pleasant Ave, Park Rapids, MN 56470-1432 | 2012-04-07 |
1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.