BREEN FAMILY DENTISTRY PLLC NPI 1043978299

NPI Information

NPI: 1043978299
Provider Name: BREEN FAMILY DENTISTRY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2460 BURTON ST SE STE 201
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 454-9091
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BREEN FAMILY DENTISTRY, PLLC is a dental clinic center in Grand Rapids, MI. BREEN FAMILY DENTISTRY, PLLC NPI is 1043978299. The provider is registered as an organization entity type.

The provider's business location address is:

2460 BURTON ST SE STE 201
GRAND RAPIDS, MI
ZIP 49546-800
Phone: (616) 454-9091
Fax: (616) 454-1159

The provider's authorized official is Zachary Breen .
The authorized official title is Owner and has the following contact phone number (616) 454-9091.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 11/14/2023

NPI Synchronization or Removal

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