Rosemary E Skriver, LDH, ADT

Individual provider Active NPI Advanced Practice Dental Therapist · Gilbert, MN

NPI 1558059022 · NPPES record last updated Jul 24, 2025

Key facts

NPI
1558059022
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Dental Therapist 125K00000X
License
DT163 (MN)
Practice address
3 S Broadway Ave
Gilbert, MN 55741-5007
Phone
(846) 121-8248
NPI assigned
Apr 24, 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

LicenseStateTypeSpecialty
H11405MNMDDental Hygienist
DT163MNMDAdvanced Practice Dental Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H11405 MN
Advanced Practice Dental Therapist 125K00000X DT163 MN Yes

Addresses

Primary practice location

3 S Broadway Ave
Gilbert, MN 55741-5007

Mailing address

609 North CT
Eveleth, MN 55734-1431
Phone (319) 201-0099

Other providers in Gilbert, MN

All providers in Gilbert, MN · Advanced Practice Dental Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.