Individual provider · NPI-1
Michael Abebe, DT
Dental Therapist · New Hope, MN
NPI number1255240669
StatusActive
Last updated in NPPESSep 2, 2026
Details
- NPI
- 1255240669
- Entity type
- Individual (NPI-1)
- Name
- Michael Abebe
- Credential
- DT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2026
- Certification date
- Sep 2, 2026
- Last updated
- Sep 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT174 | MN | Yes |
Practice location
8500 42nd Ave NNew Hope, MN 55427-1184
Phone 763-762-8916
Mailing address
925 30th Ave S Apt 206Minneapolis, MN 55406-1156
Is something wrong?
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