OrganizationActive
Healthy Teeth Club
NPI 1093044869 · Dental Hygienist · Grasston, MN
Provider details
- NPI number
- 1093044869
- Entity type
- Organization
- Primary specialty
- Dental HygienistDental Providers
- Organization subpart
- No
- Authorized official
- Rebecca Fahning, Dental Hygienist(651) 894-4391
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13410 Canalville Lane
Grasston, MN 55030-2162
Phone: (651) 894-4391
Approximate (ZIP-level) locationGet directions
Mailing address
13410 Canalville Lane
Grasston, MN 55030-2162
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2009-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.