Ethan Dutton

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

006831AL Issued in AL

Practice address

115 Rainbow Dr
Madison, AL 35758-8224

Phone

(256) 289-8255

NPI assigned

Nov 11, 2020

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dutton Dental, LLC

  dba Dutton Dental

  • Dental Clinic/Center
  • Madison, AL
  • NPI 1093521379
  NPD Authorized official
• English Dental, LLC

  dba Apex Dental

  • General Practice Dentistry
  • Madison, AL
  • NPI 1841697810
  NPD (past)
• Hwy 72 Family & Implant Dentistry of Madison

  • General Practice Dentistry
  • Madison, AL
  • NPI 1194654707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1881296259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RAINBOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588224",
            "telephone_number": "256-289-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RAINBOW DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588224",
            "telephone_number": "256-289-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "006831AL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Russell Durham, DMD
• Bethany Dussor, RN
• Jennifer Cook Duster, LICSW, PIP, LLC
• Dutton Dental, LLC (Dutton Dental)
• Emily Rae Dutton, NP-C
• Trella C. Dutton, D.D.S.
• Michael David Dye, A.T.C.
• Dynamic Performance Therapy and Rehabilitation, Inc (Dynamic Performance Physical Therapy)
• E a McCleskey, DO, LLC
• Early Interactions, LLC

• General Practice Dentistry in Madison, AL
• Providers in Madison, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.