Richard Carlton Brenke in Phoenix - Pediatric Dentistry
Richard Carlton Brenke - NPI 1447243621
Richard Carlton Brenke is a Pediatric Dentistry in Phoenix, Arizona. Richard Carlton Brenke practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Richard Carlton Brenke is 1447243621. The last update date is 2007-07-09.
Richard Carlton Brenke's current location address is 2511 E Lamar Rd, Phoenix, Arizona. You can contact this provider via phone number 6029772565 and fax number 6029384910. The mailing address for Richard Carlton Brenke is 2511 E Lamar Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Carlton Brenke |
|---|---|
| Address | 2511 E Lamar Rd, Phoenix, Arizona |
| Phone Number | 6029772565 |
| Fax Number | 6029384910 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1447243621 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2511 E Lamar Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850161209 |
| Phone Number | 6029772565 |
| Fax Number | 6029384910 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4802 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 390493 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard Carlton Brenke by the Centers for Medicare & Medicaid Services?
The Richard Carlton Brenke has been issued the NPI (National Provider Identifier) 1447243621. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Richard Carlton Brenke is geographically located?
The Richard Carlton Brenke is physically situated at the following location: 2511 E Lamar Rd, Phoenix, AZ, 850161209.
What is Richard Carlton Brenke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Carlton Brenke is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Richard Carlton Brenke receive the assignment of its 1447243621 from the Centers for Medicare & Medicaid Services?
The Richard Carlton Brenke was issued its 1447243621 by the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date were the details related to Richard Carlton Brenke most recently updated or revised?
The information pertaining to Richard Carlton Brenke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.