Individual provider · Type 1 NPI

Brian Michael Brancheau, DDS, MSD

Periodontics · Lynnwood, WA

NPI number 1407289457 Active

Practice location

4100 194th St SW Ste 209
Lynnwood, WA 98036-4613

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDE 60306318 (WA)
Periodontics Primary 1223P0300XDE60306318 (WA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1407289457

Brian Michael Brancheau, DDS, MSD's National Provider Identifier is 1407289457, issued on Aug 14, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lynnwood, WA. The record was last updated on Feb 5, 2019.