Individual provider · Type 1 NPI
Ethan Just, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Manitowoc, WI
Practice location
340 E Reed Ave
Manitowoc, WI 54220-2123
Mailing address
1732 Blue Heron Rd
Manitowoc, WI 54220-9445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 6001067-15 (WI) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Manitowoc
About NPI 1467225367
Ethan Just, DMD's National Provider Identifier is 1467225367, issued on Nov 1, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Manitowoc, WI. The record was last updated on Apr 16, 2025.