DR. DUSTIN MATTHEW DITCH (NPI# 1811347867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811347867 |
Entity Type | Individual |
Full Name | DR. DUSTIN MATTHEW DITCH |
Credential | D.D.S, M.S |
Practice Address |
510 22nd Ave E Ste 702 Alexandria MN 56308 |
Mailing Address |
510 22nd Ave E Ste 702 Alexandria MN 56308-4653 |
Practice Telephone | 3204608400 |
Mailing Telephone | 3204608400 |
Enumeration Date | 2016-06-20 |
Last Update Date | 2018-08-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 13650 | MN | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D13650 | MN | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
41625 Bur Oak Hills Rd, Pelican Rapids, MN 565727448 | 6128044028 |
Street Address |
510 22ND AVE E STE 702 |
City | ALEXANDRIA |
State | MN |
Zip Code | 56308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639677735 | Evolve Orthodontics Pllc | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308-4653 | 2018-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
1932506003 | Fcsl Alexandria | Assisted Living Facility | 803 1/2 Victor Street, Alexandria, MN 56308 | 2014-12-04 |
Find all providers in zip 56308 |
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 |
---|---|---|---|---|
1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
1871907741 | William S. Lee, Dds, P.C. | Dentist | 6400 Beulah St, Suite #103, Alexandria, VA 22310-2628 | 2014-06-18 |
1588006118 | Katie Evans Moffit | Dentist | 1460 Peterman Dr, Alexandria, LA 71301 | 2013-07-24 |
1720392871 | Hung Quoc Chau Lu | Dentist | 6479 Old Beulah St, Alexandria, VA 22315 | 2010-07-31 |
1245447150 | Mary Ann Karau | Dentist | 1213 Belle Haven Rd, Alexandria, VA 22307-1218 | 2007-05-17 |
1912021346 | William Jude Sansing | Dentist | 1431 Peterman Dr, Alexandria, LA 71301-3433 | 2007-03-19 |
1396874699 | Vernon Traxler | Dentist | 2229 Worley Dr, Alexandria, LA 71301-3631 | 2007-03-04 |
1417025255 | William Sungki Lee | Dentist | 6400 Beulah St Ste 103, Alexandria, VA 22310-2628 | 2006-12-01 |
1699848077 | Ronald Steve Gasper | Dentist | 1755 Duke St # B, Alexandria, VA 22314-3401 | 2006-11-15 |
1912017484 | Frances Hamman | Dentist | 7574 Telegraph Road, Alexandria, VA 22315 | 2006-08-30 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 56308 |
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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.