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14D2245648 CLIA NUMBER - WILLIAM M BRENNAN JR DDS PC

Laboratory Demographics

CLIA Number: 14D2245648

Facility Name: WILLIAM M BRENNAN JR DDS PC

Facility Address:
5133 WASHINGTON ST - STE 4
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 630 969-4645

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1235142746

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 14D2245648
LAB Type Practitioner Other
Facility Name WILLIAM M BRENNAN JR DDS PC
Street 5133 WASHINGTON ST - STE 4
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 969-4645
CertificateType 4
CertificateEffectiveDate 12/15/2023
CertificateExpirationDate 12/14/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024