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

Lilly Iha Thach, MDT, LDH

Individual provider Dental Therapist · NPI 1962374470

Lilly Iha Thach, MDT, LDH is a Dental Therapist in Crystal, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

331 Willow Bnd
Crystal, MN 55428-3969
Phone: (763) 762-8916
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT192 (MN)

Record details

NPI number1962374470
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDT , LDH
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025