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NPI 1699504399

IndividualActive

Cheyton Homan, MDT

NPI 1699504399 · Dental Therapist · Brooklyn Park, MN

Provider details

NPI number: 1699504399
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: MDT
Sex: Male
Sole proprietor: No
License: DT172 (MN)

Practice location

8401 W Broadway Ave

Brooklyn Park, MN 55445-2266

Phone: (763) 424-5313

More MN providers

Mailing address

8401 W Broadway Ave

Brooklyn Park, MN 55445-2266

Registry dates

Enumerated: 2024-07-30
Last updated: 2024-07-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cheyton Homan, MDT — NPI 1699504399, Brooklyn Park, MN | NPI Central