| Breneer Dental Care | |
|
215 1st Ave W Ste 100 Seattle WA 98119-4257 | |
| (206) 258-4965 | |
| Not Available |
| Full Name | Breneer Dental Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 1st Ave W Ste 100, Seattle, Washington |
| Authorized Official Name and Position | Bryan D Brenner (DOCTOR) |
| Authorized Official Contact | 2062584965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breneer Dental Care 215 1st Ave W Ste 100 Seattle WA 98119-4257 Ph: (206) 258-4965 | Breneer Dental Care 215 1st Ave W Ste 100 Seattle WA 98119-4257 Ph: (206) 258-4965 |
| NPI Number | 1699448324 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/29/2021 |
| Medicare PECOS PAC ID | 2264838788 |
|---|---|
| Medicare Enrollment ID | O20210909000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699448324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Bryan D Brenner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982618070 PECOS PAC ID: 3678875564 Enrollment ID: I20200804003334 |
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