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NPI Profile for KEANA S CRUSE in LA CONNER, WA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental Therapist |
125J00000X |
| NPI # | 1730036856 |
|
| Status | Active | |
| Credentials | LDT | |
| Entity | Individual | |
| Enumeration date | 03/16/2026 | |
| Last updated | 03/16/2026 - About 3 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KEANA S CRUSE
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KEANA S CRUSE, LDT