Michael Abebe, DT
Individual provider Active NPI Dental Therapist · New Hope, MN
NPI 1255240669 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1255240669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Therapist 125J00000X
- License
- DT174 (MN)
- Practice address
- 8500 42ND Ave N
New Hope, MN 55427-1184 - Phone
- (763) 762-8916
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT174 | MN | Yes |
Addresses
Primary practice location
8500 42ND Ave N
New Hope, MN 55427-1184
Mailing address
925 30TH Ave S Apt 206
Minneapolis, MN 55406-1156
Other providers in New Hope, MN
- 1St Choice Transportation MN
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- Ayan Abdalle
- Safiya Ahmed Abdullahi
- Abib Serene Health LLC
- Access Care Transportation Inc
- Accord Health Services LLC
- Tanya Marie Acker
- Ahmed Ismail Adan
All providers in New Hope, MN · Dental Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.