Dewitt, Brandon D

Dewitt, Brandon D is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Dewitt, Brandon D can be contacted via phone (612) 873-6275.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-6275
Fax: (612) 904-4234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X R386 Minnesota
Dental Providers / Prosthodontics 1223P0700X D12597 Minnesota

Profile Details

NPI number 1043488836
LBN Legal business name Dewitt, Brandon D
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Apr 7th, 2011 - about 14 years ago

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.

Request for update

Popular Providers