ETHAN JON BREKKE (NPI# 1689282469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689282469 |
| Entity Type | Individual |
| Full Name | ETHAN JON BREKKE |
| Credential | DDS |
| Practice Address |
1432 London Rd Duluth MN 55805-2425 |
| Mailing Address |
220 W 7th St Duluth MN 55806-2512 |
| Practice Telephone | 2187285095 |
| Mailing Telephone | 2182348823 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14446 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 324 W Superior St Ste 930, Duluth, MN 558021716 | 2187275041 |
| Street Address |
1432 LONDON RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316009210 | Stephen Labbe D.d.s. P.a. | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2006-12-15 |
| 1487202370 | Miller Hill Dental Pllc | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2019-09-03 |
| 1851950174 | Michael John Walek | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2019-06-10 |
| 1699332445 | Ellen Bursch | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2019-05-28 |
| 1972952265 | Kyle Hammer Dds Pllc | Clinic/Center | 1432 London Rd, Duluth, MN 55805-2425 | 2016-06-07 |
| 1679910905 | Kyle D. Hammer | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2013-05-28 |
| 1578720660 | Adam Richard Huneke | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2008-05-18 |
| 1154588366 | Stephen Charles L'abbe | Dentist | 1432 London Rd, Duluth, MN 55805-2425 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| 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 |
|---|---|---|---|---|
| 1023677275 | Gabrielle Lina Going | Dentist | 2405 Satellite Blvd Ste 115, Duluth, GA 30096-9022 | 2019-06-11 |
| 1093296733 | Marharyta Viarkhouskaya | Dentist | 2550 Pleasant Hill Rd Ste 119, Duluth, GA 30096-9278 | 2018-08-21 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1790213825 | Devan Callaway | Dentist | 3415 Highway 120, Duluth, GA 30096-3354 | 2017-06-02 |
| 1184161119 | George Marius Dinulescu | Dentist | 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 | 2017-01-29 |
| 1801260187 | Bluestone Dental Pllc | Dentist | 906 Woodland Avenue, Duluth, MN 55812-1113 | 2015-11-24 |
| 1144600859 | Camille Zelen Dds Pa | Dentist | 1624 Woodland Ave, Duluth, MN 55803-2628 | 2015-06-08 |
| 1205230976 | Ace Dental Care, LLC | Dentist | 7990 Turnberry Way, Duluth, GA 30097-1634 | 2014-10-09 |
| 1588904619 | Janet Stuckwish Dunwody | Dentist | 3677 Habersham Ln, Duluth, GA 30096-6111 | 2013-02-27 |
| 1124305057 | Jong S Lee | Dentist | 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 | 2011-11-06 |
| Find all providers in DULUTH | ||||
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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.