DR. ELIZABETH HELEN BRACK (NPI# 1316235369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316235369 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH HELEN BRACK |
| Credential | D.M.D. |
| Practice Address |
503 W Main St Arlington MN 55307 |
| Mailing Address |
56 16th Ave Ne Minneapolis MN 55413-1056 |
| Practice Telephone | 5079642748 |
| Mailing Telephone | 7653180218 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2013023621 | MO | Dental Providers |
| N | 122300000X | Dentist | 019028692 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14127 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7766 Winghaven Blvd, O Fallon, MO 633683601 | 7653180218 | |
| 2100 11th St E, Glencoe, MN 553362625 | 3208643129 |
| Street Address |
503 W MAIN ST |
| City | ARLINGTON |
| State | MN |
| Zip Code | 55307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952898660 | Forever Smiles, Pllc | Clinic/Center | 503 W Main St, Arlington, MN 55307-2133 | 2018-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864208 | Jennifer Jean Washburn | Nurse Practitioner | Ridgeview Arlington Clinic, 601 W Chandlerst, Arlington, MN 55307 | 2019-11-01 |
| 1760737647 | Dr. John D. Gustafson, D.d.s., Pa | Dentist | 106 Third Avenue Nw, Arlington, MN 55307 | 2012-07-17 |
| 1043497654 | Sibley County Faith In Action | Private Vehicle | 108 N.w. 4th Ave., Arlington, MN 55307 | 2008-01-25 |
| 1972668705 | Sibley East Public Schools | Local Education Agency (LEA) | 202 3rd Ave Nw, Arlington, MN 55307 | 2006-12-22 |
| 1043392152 | John Douglas Gustafson | Dentist | 106 3rd Ave Nw, Arlington, MN 55307 | 2006-10-19 |
| 1922111681 | City of Arlington | Ambulance | 312 West Alden Street, Arlington, MN 55307 | 2006-08-16 |
| 1407273956 | Chelsie Sueann Seth | Nurse Practitioner | 601 W Chandler St, Arlington, MN 55307 | 2014-03-22 |
| 1366575060 | Howard Michael Noack | Dentist | 503 W. Main St., Arlington, MN 55307-0436 | 2007-03-13 |
| 1588044424 | Pamela Schmidt | Contractor | 211 First Ave. N., Arlington, MN 55307-0455 | 2015-06-05 |
| 1295795730 | Sibley Medical Center | Home Health | 601 West Chandler, Arlington, MN 55307-0620 | 2006-03-27 |
| Find all providers in zip 55307 | ||||
| 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 |
|---|---|---|---|---|
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
| 1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
| 1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
| 1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
| 1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
| 1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
| 1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
| Find all providers in ARLINGTON | ||||
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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.