Organization · Type 2 NPI

Corey J Brenner DDS PLLC

Dental Clinic/Center · Rockford, MN

NPI number 1689824898 Active

Practice location

9000 Walnut St, Box 236
Rockford, MN 55373-0236

Call (763) 477-5794 Map

Fax (763) 477-4784

Mailing address

8900 Walnut St Suite 450 Box 236
Rockford, MN 55373-0236

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	D11525 (MN)

Dental Clinic/Center: Definition to come...

4 other providers at this address

Other dental clinic/center providers in Rockford

Holistic Roots Dentistry, PLLCDental Clinic/Center Rockford, MN NPI 1700679743

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NPI record

NPI: 1689824898
Entity type: Organization (Type 2)
Issued: Sep 24, 2008
Last updated: Jun 19, 2019
Status: Active

Other names

<unavail>
Rockford Dentalcare Center · former legal business name
Rockford Dentalcare Center · former legal business name

Authorized official

Dr. Corey James Brenner, DDS
Owner
(763) 477-5794

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About NPI 1689824898

Corey J Brenner DDS PLLC's National Provider Identifier is 1689824898, issued on Sep 24, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rockford, MN. The record was last updated on Jun 19, 2019.