Active NPIIndividual providerSole proprietor

Dr. Alexandra V Brennan, DMD

Dentist, Pediatric Dentistry in Bozrah, Connecticut

NPI Number1205190022
Practice location
392 Salem Tpk, Bozrah, CT 06334
Fax
860-885-1379
Last updated
August 24, 2015

Alexandra V Brennan is a Dentist, Pediatric Dentistry based in Bozrah, CT. Alexandra V Brennan practices in Bozrah, CT and has the professional credentials of DMD. The NPI Number for Alexandra V Brennan is 1205190022 and holds a License No. 11364 (CT). The current practice location address for Alexandra V Brennan is 392 Salem Tpk, Bozrah, CT 06334 and can be reached out via phone at 860-886-5576 and via fax at 860-885-1379.

Provider Profile Details

NPI Number
1205190022
Provider Name
Alexandra V Brennan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
392 Salem Tpk, Bozrah, CT 06334
Phone Number
860-886-5576
Fax Number
860-885-1379
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2012
Last Update Date
August 24, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
392 Salem Tpk
Bozrah, CT 06334
City
Bozrah
Zip
06334
Phone Number
860-886-5576
Fax Number
860-885-1379
Bozrah, CT 06334Get directions →

Provider Business Mailing Address Details

Address
392 Salem Tpk
Bozrah, CT 06334
City
Bozrah
State
CT
Zip
06334
Phone Number
860-886-5576
Fax Number
860-885-1379

License Information

License Number (1)
11364
License State (1)
CT
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (2)
LD00076
License State (2)
RI
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alexandra V Brennan, DMD?

The NPI number of Dr. Alexandra V Brennan, DMD is 1205190022. It was assigned on June 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexandra V Brennan, DMD?

Dr. Alexandra V Brennan, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 11364.

Where does Dr. Alexandra V Brennan, DMD practice?

The practice location is 392 Salem Tpk, Bozrah, CT 06334. The office can be reached at 860-886-5576 (phone) or 860-885-1379 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205190022 directly on the NPPES registry website.

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