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Contact Information

BRANDT ENDODONTICS
1001 LAURENCE AVE
SUITE A
JACKSON, MI49202-2979
 Phone: 517-795-2154
 Fax: 517-795-2635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRANDT ENDODONTICS

NPI Number 1841532793
LBN Legal business name BRANDT ENDODONTICS
Authorized official RYAN BRANDT - (ENDODONTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2013
Last updated 04/04/2013 - About 13 years ago
Identifiers
MI License # 2901019119
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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