DR. BRYAN THOMAS BRETTIN (NPI# 1477616050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477616050 |
| Entity Type | Individual |
| Full Name | DR. BRYAN THOMAS BRETTIN |
| Credential | DDS, MS |
| Practice Address |
400 2nd St S Ste 230 Hudson WI 54016-1980 |
| Practice Telephone | 7153772155 |
| Practice Fax Number | 7153772157 |
| Mailing Telephone | 7153772155 |
| Mailing Fax Number | 7153772157 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D11644 | MN | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6095015 | WI | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1978 | ND | Dental Providers |
| Street Address |
400 2ND ST S STE 230 |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087423 | Simply Orthodontics, Nh, PC | Dentist | 49 Derry St, Hudson, NH 03051-4027 | 2015-11-06 |
| 1457523052 | Lakshmi P. Thalanki, Dmd,ms,pc | Dentist | 118 Forest Ave, Suite 202, Hudson, MA 01749-2858 | 2008-03-24 |
| 1679640338 | Kevin Joe Hallgarth | Dentist | 46 E Streetsboro St, Hudson, OH 44236 | 2006-11-29 |
| 1174534176 | Anne M Todd Dmd Mmsc PC | Dentist | 49 Derry Road, Hudson, NH 03051 | 2006-08-11 |
| 1285648923 | Becky S. Maher | Dentist | 1200 Crest View Dr, Hudson, WI 54016-9366 | 2006-07-28 |
| 1558384610 | Stephen Philip Simpson | Dentist | 33 Milford Dr, Suite 4, Hudson, OH 44236-2702 | 2006-07-26 |
| 1215051081 | Orthodontic Care Group | Dentist | 2215 Vine St, Hudson, WI 54016-5802 | 2007-03-19 |
| 1497822167 | Kevin J. Hallgarth, D.d.s., Inc. | Dentist | 46 E Streetsboro St, Hudson, OH 44236-3048 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488075 | Kristo Ltd | Dentist | 440 Chestnut St # 100, Wisconsin Rapids, WI 54494-4807 | 2020-02-11 |
| 1578104006 | Daniela Amaya Fuenmayor | Dentist | 11011 W North Ave Apt 367, Wauwatosa, WI 53226-2271 | 2019-10-07 |
| 1295382992 | Noble Orthodontics, LLC | Dentist | 109 N Dodge St, Burlington, WI 53105-1918 | 2019-08-19 |
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1811498561 | Orthodontic Specialists of Onalaska and The Coulee Region | Dentist | 2747 National Dr, Onalaska, WI 54650-8784 | 2018-02-27 |
| 1508247198 | Lauren Evan Montoure Teske | Dentist | 2000 Shady Ln, Green Bay, WI 54313-9311 | 2015-06-09 |
| 1588042154 | Bubon & Associates, Orthodontics, Sc | Dentist | 4950 S 27th St, Milwaukee, WI 53221-2606 | 2015-05-14 |
| 1235517897 | 1bubon & Associates, Orthodontics, Sc | Dentist | 1701 N Mayfair Rd, Suite C, Wauwatosa, WI 53226-3046 | 2015-05-14 |
| 1851779417 | Bubon & Associates, Orthodontics, Sc | Dentist | W188s7830 Racine Ave, Suite 300, Muskego, WI 53150-8290 | 2015-05-14 |
| 1578941548 | Bubon & Associates, Orthodontics, Sc | Dentist | N4w21680 Bluemound Rd, Waukesha, WI 53186-2943 | 2015-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRYAN THOMAS BRETTIN.
| 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.