DR. EVAN E ENTZE (NPI# 1841898855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841898855 |
| Entity Type | Individual |
| Full Name | DR. EVAN E ENTZE |
| Credential | DDS |
| Practice Address |
669 12th St W Dickinson ND 58601-3554 |
| Practice Telephone | 7014834746 |
| Practice Fax Number | 7014832273 |
| Mailing Telephone | 7014834746 |
| Mailing Fax Number | 7014832273 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2416 | ND | Dental Providers |
| Street Address |
669 12TH ST W |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584500 | John Tennis Keaveny | Dentist | 669 12th St W, Suite 2, Dickinson, ND 58601-3554 | 2005-08-02 |
| 1548558083 | High Plains Dental | Dentist | 669 12th St W, Dickinson, ND 58601 | 2011-07-19 |
| 1326354499 | Melissa Marie Eberts | Dentist | 669 12th St W, Dickinson, ND 58601-3554 | 2010-08-26 |
| 1568676310 | John T. Keaveny, Dds | Dentist | 669 12th St W, Dickinson, ND 58601-3554 | 2007-05-10 |
| 1003805730 | Lonnie Scott Neuberger | Dentist | 669 12th St W, Dickinson, ND 58601-3554 | 2005-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104275320 | April Robinson | Dentist | 1524 Prairie Ave, Suite A, Dickinson, ND 58601-2919 | 2016-06-08 |
| 1235467374 | Shannon D Galster | Dentist | 2 1st St W # 215, Dickinson, ND 58601-5106 | 2009-12-01 |
| 1801057856 | Maxwell Christopher Elliott | Dentist | 1915 Fm 517 Rd E, Dickinson, TX 77539-8652 | 2008-06-23 |
| 1598965055 | Care Dental P.a. | Dentist | 1350 W Fm 517, Dickinson, TX 77539 | 2007-07-23 |
| 1356557391 | Marianne Hoffmeyer | Dentist | 4906 12th St, Dickinson, TX 77539-7668 | 2007-05-15 |
| 1982724886 | Timothy A Windham | Dentist | 1620 Fm 646 Rd W Ste D, Dickinson, TX 77539-4580 | 2007-04-02 |
| 1972605087 | Sharon Ruth Carver | Dentist | 389 15th St W, Dickinson, ND 58601-3017 | 2006-09-01 |
| 1336107804 | Morton Lewis Krieg | Dentist | 188 Osborn Dr, Dickinson, ND 58601-3936 | 2006-05-03 |
| 1336129113 | Dickinson Dental Center, P.C. | Dentist | 2 1st St W, #215, Dickinson, ND 58601-5106 | 2006-01-18 |
| 1205454725 | Fionna Tay Gov | Dentist | 1620 Fm 646 Rd W Ste D, Dickinson, TX 77539-4580 | 2020-07-10 |
| Find all providers in DICKINSON | ||||
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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.