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

Mrs. Teresa Bushnell

Individual provider Dental Therapist · NPI 1114315678

Mrs. Teresa Bushnell is a Dental Therapist in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015

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.

Additional practice locations (1)

  • 1405 Anne St Nw, Bemidji, MN 56601-5113 — (218) 444-9646

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT33 (MN)

Record details

NPI number1114315678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESMarch 17, 2018

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