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BETHANEY B BRENNER DMD LLC NPI 1700472677


NPI Information

NPI: 1700472677
Provider Name: BETHANEY B BRENNER DMD LLC
Classification: Dentist - 1223X2210X
Entity Type: Organization

Specialization: Orofacial Pain

Address:
8 MILFORD ST
BURLINGTON, CT
ZIP 06013
Phone: (860) 673-7155
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BETHANEY B BRENNER DMD LLC is an orofacial pain dentist in Burlington, CT. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. BETHANEY B BRENNER DMD LLC NPI is 1700472677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8 MILFORD ST
BURLINGTON, CT
ZIP 06013-715
Phone: (860) 673-7155

The provider's authorized official is Bethaney B Brenner .
The authorized official title is Owner and has the following contact phone number (860) 673-7155.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X2210XDentistOrofacial PainYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15608OTHERCONNECTICUTLICENSE

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

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