DR. BRANDON D DEWITT DDS MSD NPI 1043488836

NPI Information

  • NPI: 1043488836
  • Provider Name: DR. BRANDON D DEWITT, DDS, MSD
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 PARK AVE
    MINNEAPOLIS, MN
    ZIP 55415
  • Phone: (612) 873-6275

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NPI Details

DR. Brandon D Dewitt, DDS, MSD is a prosthodontics dentist in Minneapolis, MN. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Brandon D Dewitt, DDS, MSD NPI is 1043488836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 PARK AVE
MINNEAPOLIS, MN
ZIP 55415-623
Phone: (612) 873-6275
Fax: (612) 904-4234

The NPI 1043488836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/14/2008 and was last updated on 4/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistR386MINNESOTANo
21223P0700XDentistProsthodonticsD12597MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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