MICHELLE STORLIE


Address: 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930
Phone: 5073346433

MICHELLE STORLIE (NPI# 1104256106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104256106
Entity Type Individual
Full Name MICHELLE STORLIE
Credential D.T.
Practice Address 1575 20th St Nw
Suite 102
Faribault
MN 55021-2930
Practice Telephone 5073346433
Practice Fax Number 5073340044
Mailing Telephone 5073346433
Mailing Fax Number 5073340044
Enumeration Date 2013-11-13
Last Update Date 2013-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT25 MN Dental Providers

Office Location

Street Address 1575 20TH ST NW
SUITE 102
City FARIBAULT
State MN
Zip Code 55021-2930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902931199 Legacy Anesthesia Services, Pllc Clinic/Center 1575 20th St Nw, Suite 203, Faribault, MN 55021 2007-02-21
1023541695 Carley Banks Advanced Practice Dental Therapist 1575 20th St Nw, Faribault, MN 55021 2017-04-10
1033642947 Lauren Johnson Advanced Practice Dental Therapist 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 2017-04-07
1215479530 Tareen Dermatology, Pa Non-Pharmacy Dispensing Site 1575 20th St Nw, Faribault, MN 55021-2930 2016-11-17
1073900718 Angella Schaefer Optometrist 1575 20th St Nw, Suite 101, Faribault, MN 55021-2930 2015-04-21
1962840520 Kathleen Baker Gerber Dentist 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 2013-06-05
1386924231 Sound Sleep Centers Clinic/Center 1575 20th St Nw, Suite 209, Faribault, MN 55021-2930 2011-08-24
1174834022 Misty Purfeerst Optometrist 1575 20th St Nw, Ste 101, Faribault, MN 55021-2930 2010-06-25
1306018544 King Orthodontics Ltd Clinic/Center 1575 20th St Nw, Suite 202, Faribault, MN 55021-2930 2008-03-27

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NPI Name Taxonomy Address Enumeration
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1639720485 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 200 8th Avenue Nw, Faribault, MN 55021 2019-09-24
1235663428 Tanya Borchert Social Worker 100 State Avenue, Faribault, MN 55021 2017-04-14
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1740625938 Steven James Klapmeier Family Medicine 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 2013-05-02
1528306040 Discovery Public School of Faribault Local Education Agency (LEA) 126 8th St. Nw, Faribault, MN 55021 2013-01-17
1164790374 Emmanuel Douah Pharmacist 612 4th Avenue Nw, Faribault, MN 55021 2011-12-02
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Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy 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.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487264446 Amber Nichelle Irby Dental Therapist 903 W Center St #130, Rochester, MN 55902 2020-08-05
1558835942 Jennifer Iacobelli Dental Therapist 13899 Highway 13 South Frontage Road, Savage, MN 55378 2019-01-18
1992288781 Katie Ask Dental Therapist 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 2018-09-08
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
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Competitor

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City FARIBAULT
Zip Code 55021

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Dataset Information

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.

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