JENNIFER IACOBELLI


Address: 13899 Highway 13 South Frontage Road, Savage, MN 55378
Phone: 9524402292

JENNIFER IACOBELLI (NPI# 1558835942) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist DT108 MN Dental Providers

Office Location

Street Address 13899 HIGHWAY 13 SOUTH FRONTAGE ROAD
City SAVAGE
State MN
Zip Code 55378

Providers in the same zip code

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
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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 city

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

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
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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Competitor

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City SAVAGE
Zip Code 55378

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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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