Jody Lee Brennan is a Dentist in Seattle, Washington. Jody Lee Brennan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jody Lee Brennan is 1154400356. The last update date is 2007-07-08.
Jody Lee Brennan's current location address is 3107 W Mcgraw St, Seattle, Washington. You can contact this provider via phone number 2062822416 and fax number 2062820825. The mailing address for Jody Lee Brennan is 3107 W Mcgraw St, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Lee Brennan |
|---|---|
| Address | 3107 W Mcgraw St, Seattle, Washington |
| Phone Number | 2062822416 |
| Fax Number | 2062820825 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154400356 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3107 W Mcgraw St |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 98199 |
| Phone Number | 2062822416 |
| Fax Number | 2062820825 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10009 |
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Definition: 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: denti |
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What is the unique identifier code issued to Jody Lee Brennan by the Centers for Medicare & Medicaid Services (CMS)?
The Jody Lee Brennan has been assigned the NPI (National Provider Identifier) 1154400356. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jody Lee Brennan located?
The Jody Lee Brennan is located at 3107 W Mcgraw St, Seattle, WA 98199.
What is the Jody Lee Brennan's specialty and taxonomy code?
The Jody Lee Brennan's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154400356 to Jody Lee Brennan?
The Centers for Medicare & Medicaid Services originally issued the 1154400356 to Jody Lee Brennan on 2006-11-06.
As of what date were the details related to Jody Lee Brennan most recently updated or revised?
The information pertaining to Jody Lee Brennan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.