Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487201695 Individual Practitioner Male Practitioner

Dr. Ethan Lee Brockett , DDS

Dentist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Brockett, DDS is a registered healthcare professional specializing in Dentist in Spokane, WA. Practice services are available at 3919 N MAPLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3919 N Maple St

Spokane, WA 992051349

Telephone 5094448200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
127 Specialists

Practicing in Spokane, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE61103491

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tyler Pedersen , MD

Emergency Medicine

NPI 1003034828

Doctor of Medicine (M.D.)

Lila Erickson , MSPAS, PA-C

Physician Assistant

NPI 1003134867

MSPAS, Physician Assistant (Certified)

Jeffrey Hayward , PA-C

Physician Assistant

NPI 1003218389

Physician Assistant (Certified)

NPI 1003290941

Doctor of Pharmacy (Pharm.D.)

Anna Denton , FNP-BC

Nurse Practitioner - Family

NPI 1003331539

Family Nurse Practitioner (Board Certified)

Amy Hagins

Social Worker

NPI 1003381492

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 02, 2022

Registered at 3919 N MAPLE ST, SPOKANE, WA 992051349 (Tel: 5094448200)

📍
Updated Business Mailing Address November 02, 2022

Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Dentist (License #DE61103491 in WA)

NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2019

Registered at SHAW AFB DENTAL CLINIC, SHAW AFB, AE 29152 (Tel: 8038956988)

📍
Updated Business Mailing Address August 22, 2019

Registered at 273 KNIGHT VALLEY CIR, COLUMBIA, SC 292093166 (Tel: 9792196946)

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as ETHAN BROCKETT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dentist (License #109446829921 in UT)

🟢
Initial NPI Registration & Enumeration August 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ethan Brockett. Be the first to share your experience!

Sign in to leave a review for Dr. Ethan Brockett

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487201695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: November 02, 2022
Sole Proprietor: No

Mailing Address

611 N Iron Bridge Way

Spokane, WA 992024932

Phone: 5094448888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.