Paul Joseph Brosnan in Burke - Orthodontics And Dentofacial Orthopedics

Paul Joseph Brosnan - NPI 1477561033

Paul Joseph Brosnan is a Orthodontics And Dentofacial Orthopedics in Burke, Virginia. Paul Joseph Brosnan practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Paul Joseph Brosnan is 1477561033. The last update date is 2007-07-08.

Paul Joseph Brosnan's current location address is 5631 Burke Centre Pkwy Ste G, Burke, Virginia. You can contact this provider via phone number 7032507343 and fax number 7032501330. The mailing address for Paul Joseph Brosnan is 5631 Burke Centre Pkwy Ste G, Burke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Joseph Brosnan
Address 5631 Burke Centre Pkwy Ste G, Burke, Virginia
Phone Number 7032507343
Fax Number 7032501330
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1477561033
Provider Enumeration Date 2006-08-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5631 Burke Centre Pkwy Ste G
City Burke
State Virginia (VA)
Post Code 220152234
Phone Number 7032507343
Fax Number 7032501330

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 6674
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Paul Joseph Brosnan

What is the unique identifier code issued to Paul Joseph Brosnan by the Centers for Medicare & Medicaid Services (CMS)?

The Paul Joseph Brosnan has been assigned the NPI (National Provider Identifier) 1477561033. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Paul Joseph Brosnan is physically located?

The Paul Joseph Brosnan is situated at the following address: 5631 Burke Centre Pkwy Ste G, Burke, VA 220152234.

What is the Paul Joseph Brosnan's specialty and taxonomy code?

The Paul Joseph Brosnan's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477561033 to Paul Joseph Brosnan?

The Centers for Medicare & Medicaid Services assigned the 1477561033 to Paul Joseph Brosnan on 2006-08-03.

As of what date were the details related to Paul Joseph Brosnan most recently updated or revised?

The information pertaining to Paul Joseph Brosnan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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