DR. DALE EUGENE BREWSTER (NPI# 1205051117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205051117 |
Entity Type | Individual |
Full Name | DR. DALE EUGENE BREWSTER |
Credential | DDS |
Practice Address |
514 4th St Se Stanley ND 58784-0999 |
Mailing Address |
Box 999 514 4th St Se Stanley ND 58784-0999 |
Practice Telephone | 7016282138 |
Practice Fax Number | 7016282020 |
Mailing Telephone | 7016282138 |
Mailing Fax Number | 7016282020 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1626 | ND | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | DENTAL SERVICE CORPORATIO | 901626 | 01 |
ND | 40853 | 05 |
Street Address |
514 4TH ST SE |
City | STANLEY |
State | ND |
Zip Code | 58784-0999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003322231 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 723 2nd Street Sw, Stanley, ND 58784 | 2017-12-26 |
1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
1053896357 | Nancy A Hermanson | Case Manager/Care Coordinator | 18 2nd Ave Se, Stanley, ND 58784 | 2018-10-02 |
1457762627 | Richard Paul Laksonen Jr. | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784 | 2014-05-09 |
1811339724 | Janae Marcene Maier | Physical Therapist | 615 6th St Se, Stanley, ND 58784 | 2013-07-19 |
1174777676 | Stanley Ambulance Service | Ambulance | 221 S Main St, Stanley, ND 58784 | 2008-11-11 |
Find all providers in zip 58784 |
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 |
---|---|---|---|---|
1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
1073759643 | Jeffrey Edward Rickman | Dentist | 701 S Highway 27, Stanley, NC 28164-2047 | 2009-01-01 |
1073723524 | Joseph L. Keefer | Dentist | 400 S Highway 27, Stanley, NC 28164-2055 | 2007-05-23 |
1326166539 | Wayne Alan Hove | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2007-03-26 |
1932270477 | Warren F Hoyle Dds Pa | Dentist | 6573 Bob White Trail, Stanley, NC 28164-9797 | 2006-11-13 |
1700988169 | Warren Fitzhugh Hoyle | Dentist | 6573 Bob White Trl, Stanley, NC 28164-9797 | 2006-09-05 |
1912481441 | Londry & Modlin Iv Dds Pllc | Dentist | 6573 Bob White Trl, Stanley, NC 28164-9797 | 2018-09-20 |
1760832380 | Cory Mcmahan | Dentist | 510 S Highway 27, Stanley, NC 28164-2056 | 2016-06-14 |
1861621161 | James W. Gunelson | Dentist | 120 W 4th Ave, Stanley, WI 54768-1002 | 2009-07-08 |
1336210962 | Blue Valley Dental Care Pa | Dentist | 7916 W 151st St, Stanley, KS 66223-2118 | 2006-11-13 |
Find all providers in STANLEY |
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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.