Individual provider · Type 1 NPI

Bradley William Renehan, M.D.DDS

Oral and Maxillofacial Surgery (Dentist) · Colorado Springs, CO

NPI number 1255333720 Active

Practice location

640 Southpointe Ct, #150
Colorado Springs, CO 80906-3856

Fax (719) 527-9487

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8508 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255333720

Bradley William Renehan, M.D.DDS's National Provider Identifier is 1255333720, issued on Aug 12, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 21, 2008.