Shana Marie Buerck, LDH, DT
Individual provider Active NPI Dental Therapist · Mounds View, MN
NPI 1265213441 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1265213441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Therapist 125J00000X
- License
- DT159 (MN)
- Practice address
- 2442 County Hwy 10
Mounds View, MN 55112 - Phone
- (763) 316-5400
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT159 | MN | MD | Dental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT159 | MN | Yes |
Addresses
Primary practice location
2442 County Hwy 10
Mounds View, MN 55112
Mailing address
108 Bichner LN
Mahtomedi, MN 55115-6810
Phone (651) 983-1429
Other names
- Ms. Shana Marie Atkinson
Other providers in Mounds View, MN
- Advantage Therapeutics
- Apple Tree Dental
- Nathalie Cristina Astudillo
- Axis Minnesota, Inc.
- Nathan Buck
- Crosstown Drug
- Rebecca Louise Dewolf Felices
- Elizabeth Christine Foulkes
- Jenell Fransen
- Gia Sena Health Services LLC
All providers in Mounds View, MN · Dental Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.