- Practice location
- 200 5TH Ave Fl 3, Waltham, MA 02451-8759
- Phone
- 781-647-0772
- Fax
- —
- Last updated
- November 6, 2026
Brandley Tanelus is a Dentist based in Waltham, MA. Brandley Tanelus practices in Waltham, MA. The NPI Number for Brandley Tanelus is 1255285334 and holds a License No. DN10001256 (MA). The current practice location address for Brandley Tanelus is 200 5TH Ave Fl 3, Waltham, MA 02451-8759 and can be reached out via phone at 781-647-0772.
Provider Profile Details
- NPI Number
- 1255285334
- Provider Name
- Brandley Tanelus
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 5TH Ave Fl 3, Waltham, MA 02451-8759
- Phone Number
- 781-647-0772
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 24, 2026
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 5TH Ave Fl 3
Waltham, MA 02451-8759 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-8759
- Phone Number
- 781-647-0772
Provider Business Mailing Address Details
- Address
- 345 Harrison Ave Apt 537
Boston, MA 02118-3066 - City
- Boston
- State
- MA
- Zip
- 02118-3066
- Phone Number
- 239-776-1350
License Information
- License Number
- DN10001256
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waltham, MA
View all Dentists in Waltham →Frequently Asked Questions
What is the NPI number of Brandley Tanelus?
The NPI number of Brandley Tanelus is 1255285334. It was assigned on February 24, 2026 and is currently active in the NPPES registry.
What is the specialty of Brandley Tanelus?
Brandley Tanelus is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10001256.
Where does Brandley Tanelus practice?
The practice location is 200 5TH Ave Fl 3, Waltham, MA 02451-8759. The office can be reached at 781-647-0772 (phone).
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 1255285334 directly on the NPPES registry website.