STEPHEN PAUL BRATLIE (NPI# 1255419370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255419370 |
Entity Type | Individual |
Full Name | STEPHEN PAUL BRATLIE |
Credential | D.D.S. |
Practice Address |
430 Oak St Breckenridge MN 56520-1241 |
Mailing Address |
Po Box 106 Breckenridge MN 56520-0106 |
Practice Telephone | 2186436313 |
Practice Fax Number | 2186436347 |
Mailing Telephone | 2186436313 |
Mailing Fax Number | 2186436347 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
8897 | MN | Dental Providers |
Street Address |
430 OAK ST |
City | BRECKENRIDGE |
State | MN |
Zip Code | 56520-1241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
Find all providers in zip 56520 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
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1487829545 | Alan Richard Hick | Dentist | 422 West Chestnut Street, Breckenridge, MI 48615-0241 | 2008-04-29 |
1891860284 | John Greer Warner | Dentist | 100 S. Ridge St., Suite 103, Breckenridge, CO 80424 | 2006-11-21 |
1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
1164527867 | Robert Charles Meister | Dentist | 400 North Park Avenue, 12a, Breckenridge, CO 80424-9000 | 2006-09-14 |
1225131154 | Ridge Street Dental | Dentist | 213 S. Ridge St, Breckenridge, CO 80424 | 2006-09-06 |
1093820482 | Robert Rian Faucett | Dentist | 0552 Shekel Lane, Breckenridge, CO 80424-9029 | 2006-08-19 |
1083623326 | Todd Martin Pennartz | Dentist | 1905 W Walker St, Breckenridge, TX 76424 | 2006-08-05 |
1275790727 | Kerry G. Snow | Dentist | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2008-05-21 |
1386790855 | Breckenridge Family Dental Pllc | Dentist | 400 N Park Ave, Suite 12, Breckenridge, CO 80424 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
Find all providers with the same taxonomy |
City | BRECKENRIDGE |
Zip Code | 56520 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.