Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Edminsten, DDS

Individual provider Dentist · NPI 1235606773

Dr. Ethan Edminsten, DDS is a Dentist in Omaha, Nebraska. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4400 Emile St
Omaha, NE 68198-0600
Phone: (402) 559-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD4987 (NM)

Record details

NPI number1235606773
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 1, 2018
Last updated in NPPESNovember 1, 2018
Mailing address113 S 38th St Apt 255, Council Bluffs, IA 51501-3386

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