Individual
EMILY FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
415 1ST AVE E, SHAKOPEE, MN 55379-1596
(952) 403-5149
Mailing address
415 1ST AVE E, SHAKOPEE, MN 55379-1596
(952) 403-5149
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT81
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT81
MN
Other
Enumeration date
02/26/2017
Last updated
03/23/2026
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