Brandon D Dewitt in Minneapolis - Dentist

Brandon D Dewitt - NPI 1043488836

Brandon D Dewitt is a Dentist in Minneapolis, Minnesota. Brandon D Dewitt practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brandon D Dewitt is 1043488836. The last update date is 2011-04-07.

Brandon D Dewitt's current location address is 701 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128736275 and fax number 6129044234. The mailing address for Brandon D Dewitt is 701 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandon D Dewitt
Address 701 Park Ave, Minneapolis, Minnesota
Phone Number 6128736275
Fax Number 6129044234
Sole Proprietor N
Credentials DDS, MSD

NPI Number Detail

NPI Number 1043488836
Provider Enumeration Date 2008-02-14
Last Updated Date 2011-04-07

Provider Mailing Address Detail

Address 701 Park Ave
City Minneapolis
State Minnesota (MN)
Post Code 554151623
Phone Number 6128736275
Fax Number 6129044234

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No R386
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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FAQs about Brandon D Dewitt

What is the unique 10-digit identifier code issued to Brandon D Dewitt by the Centers for Medicare & Medicaid Services?

The Brandon D Dewitt has been assigned the NPI (National Provider Identifier) 1043488836 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Brandon D Dewitt located?

The Brandon D Dewitt is located at 701 Park Ave, Minneapolis, MN 554151623.

What is Brandon D Dewitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brandon D Dewitt's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043488836 to Brandon D Dewitt?

The Centers for Medicare & Medicaid Services originally issued the 1043488836 to Brandon D Dewitt on 2008-02-14.

As of what date were the details related to Brandon D Dewitt most recently updated or revised?

The information pertaining to Brandon D Dewitt, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-07.

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