IndividualActive
Ethan Just, DMD
NPI 1467225367 · Orthodontics and Dentofacial Orthopedics Dentistry · Manitowoc, WI
Provider details
- NPI number
- 1467225367
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 6001067-15 (WI)
Mailing address
1732 Blue Heron Rd
Manitowoc, WI 54220-9445
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.