Alyssa Klugman, ADT, LDH
NPI 1568088466ActiveIndividual· Dental Therapist· Fergus Falls, MN
Dental Therapist (ADT, LDH) in Fergus Falls, Minnesota, licensed in MN, with an NPI issued in June 2020.
Overview
| NPI | 1568088466 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ADT, LDH |
| Sole proprietor | No |
| NPI issued | Jun 17, 2020 |
| Last updated in NPPES | Jul 17, 2023 |
| Certified by provider | Jul 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Therapist Primary | 125J00000X | DT133 | MN |
| Dental Hygienist | 124Q00000X | H9901 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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