BRENNER DENTAL GROUP NPI 1699190488

NPI Information

  • NPI: 1699190488
  • Provider Name: BRENNER DENTAL GROUP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: BUFFALO DENTAL CLINIC
  • Address: 102 MARTY DR
    SUITE 3
    BUFFALO, MN
    ZIP 55313
  • Phone: (763) 682-2101

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NPI Details

BRENNER DENTAL GROUP is a dental clinic center in Buffalo, MN. BRENNER DENTAL GROUP NPI is 1699190488. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Buffalo Dental Clinic.

The provider's business location address is:

102 MARTY DR
SUITE 3
BUFFALO, MN
ZIP 55313-305
Phone: (763) 682-2101

The provider's authorized official is Corey J Brenner .
The authorized official title is Owner and has the following contact phone number (612) 819-1223.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 3/3/2014.

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
1261QD0000XClinic/CenterDentalD11525MINNESOTAYes

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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