IndividualActive
Callie Hanson, RDH, MDT
NPI 1043949860 · Dental Therapist · Mankato, MN
Provider details
- NPI number
- 1043949860
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Credential
- RDH, MDT
- Sex
- Female
- Sole proprietor
- No
- License
- H11186 (MN)
Mailing address
3502 Hoeger Ln
Albert Lea, MN 56007-4220
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.