person
Dr. Richard Carlton Brenke, DDS
Pediatric Dentist in Phoenix, Arizona
NPI 1447243621

Richard Carlton Brenke is a Pediatric Dentist based in Phoenix, AZ and is specialized in Pediatric Dentistry. Richard Carlton Brenke practices in Phoenix, AZ and has the professional credentials of DDS. The NPI Number for Richard Carlton Brenke is 1447243621 and holds a License No. 4802 (Arizona).

The current practice location address for Richard Carlton Brenke is 2511 E Lamar Rd, Phoenix, AZ and can be reached out via phone at 602-977-2565 and via fax at 602-938-4910. You can also correspond with Richard Carlton Brenke through the mailing address at 2511 E LAMAR RD, PHOENIX, AZ - 85016-1209 (mailing address contact number: 602-977-2565).

Location: 2511 E Lamar Rd, Phoenix, AZ, 85016-1209
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Provider Profile Details
NPI Number
1447243621
Provider Name
Richard Carlton Brenke
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2511 E Lamar Rd, Phoenix, AZ, 85016-1209
Phone Number
602-977-2565
Fax Number
602-938-4910
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390493 05 AZ
institution
Provider Business Practice Location Address Details
Address
2511 E Lamar Rd
City
State
Zip
85016-1209
Phone Number
602-977-2565
Fax Number
602-938-4910
person
Provider Business Mailing Address Details
Address
2511 E Lamar Rd
City
State
Zip
85016-1209
Phone Number
602-977-2565
Fax Number
602-938-4910
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4802 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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