IndividualActive
Andrew Halverson, MDT
NPI 1295266476 · Dental Therapist · Saint Paul, MN
Provider details
- NPI number
- 1295266476
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Credential
- MDT
- Sex
- Male
- Sole proprietor
- No
- License
- 82 (MN)
Practice location
450 Syndicate St N
#300
Saint Paul, MN 55104-4107
Phone: (651) 254-7374
Mailing address
2651 Innsbruck Ct
New Brighton, MN 55112-6364
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2017-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.