Individual Healthcare Provider
Melissa Durbin, DENTAL THERAPIST
Provider's NPPES record last updated: July 12, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063146553
- Primary Specialty
- Dental Therapist
- Practice Location
- Fairmont, Minnesota
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:59 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dental Therapist
Dental Providers
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Taxonomy code 125J00000X
Provider-Reported License Information
- Dental Therapist (Minnesota)
- DT144
Practice Locations
Practice Location
800 Medical Center Dr Ste 490
Fairmont, Minnesota 56031-4575
Phone: (612) 812-9052
Record Information
- Enumeration Date
- July 12, 2022
- Provider's NPPES Record Last Updated
- July 12, 2022
- Certification Date
- July 12, 2022
- NPISignal NPPES Dataset
- August 2026
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