National Provider Identifier Database

BETHANEY B BRENNER DMD LLC
Orofacial Pain

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.


Contact Information

BETHANEY B BRENNER DMD LLC
8 MILFORD ST
BURLINGTON, CT06013-1715
Phone: 860-673-7155
Fax:
Website:
Specialty Taxonomy Code
* Orofacial Pain 1223X2210X

* Indicates primary specialty

NPI Profile & details for BETHANEY B BRENNER DMD LLC

NPI Number 1700472677
Legal business name
LBN
BETHANEY B BRENNER DMD LLC
Authorized official BETHANEY BRENNER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/15/2020
Last updated 12/15/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Other: 5608 LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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