IndividualActive
Debra Ettle, D.D.S.
NPI 1780724542 · General Practice Dentistry · Ada, MN
Provider details
- NPI number
- 1780724542
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 10680 (MN)
Specialties & taxonomies
Dental Providers
Practice location
200 E Main St
Ada, MN 56510-1354
Phone: (218) 784-7119
Fax: (218) 784-2381
Approximate (ZIP-level) locationGet directions
Mailing address
200 E Main St
Ada, MN 56510-1354
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.