| Bethaney B Brenner DMD LLC | |
|
8 Milford St Burlington CT 06013-1715 | |
| (860) 673-7155 | |
| Not Available |
| Full Name | Bethaney B Brenner DMD LLC |
|---|---|
| Speciality | Dentist |
| Location | 8 Milford St, Burlington, Connecticut |
| Authorized Official Name and Position | Bethaney B Brenner (OWNER) |
| Authorized Official Contact | 8606737155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethaney B Brenner DMD LLC 8 Milford St Burlington CT 06013-1715 Ph: (860) 673-7155 | Bethaney B Brenner DMD LLC 8 Milford St Burlington CT 06013-1715 Ph: (860) 673-7155 |
| NPI Number | 1700472677 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 3072920891 |
|---|---|
| Medicare Enrollment ID | O20210914000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700472677 | NPI | - | NPPES |
| 5608 | Other | CT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | () | Primary |
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