Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Jean Niemann, RDH, DT

Individual provider Dental Therapist · NPI 1780436485

Kaitlyn Jean Niemann, RDH, DT is a Dental Therapist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
Specialties on file
2
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

636 Broadway St NE
Minneapolis, MN 55413-2164
Phone: (612) 746-1530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT175 (MN)
Dental Hygienist Taxonomy 124Q00000X · Licence 11634 (MN)

Record details

NPI number1780436485
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH , DT
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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