| Charles P. Brenner, D.D.S., P.A. | |
|
145 E Carroll St Salisbury MD 21801-5454 | |
| (410) 749-0133 | |
| (410) 749-0284 |
| Full Name | Charles P. Brenner, D.D.S., P.A. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 145 E Carroll St, Salisbury, Maryland |
| Authorized Official Name and Position | Charles P Brenner (PRESIDENT) |
| Authorized Official Contact | 4107490133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles P. Brenner, D.D.S., P.A. 145 E Carroll St Salisbury MD 21801-5454 Ph: (410) 749-0133 | Charles P. Brenner, D.D.S., P.A. 145 E Carroll St Salisbury MD 21801-5454 Ph: (410) 749-0133 |
| NPI Number | 1992857247 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992857247 | NPI | - | NPPES |
| 0000975731 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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