Brenner, Jordan M
Brenner, Jordan M is an individual health care provider with primary practice located at 1359 N 205Th St , Shoreline WA 98133-3215. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brenner, Jordan M can be contacted via phone (206) 533-9693.Contact Information
Primary practice address
1359 N 205Th St
Shoreline WA 98133-3215
Phone: (206) 533-9693
Fax: (206) 533-9691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DDS-09972 | Iowa |
| Dental Providers / Dentist | 122300000X | DE60291757 | Washington |
Profile Details
| NPI number | 1902152887 |
|---|---|
| LBN Legal business name | Brenner, Jordan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2012 |
| Last updated | Nov 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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