Individual provider · Type 1 NPI

Brenden Khounlo

Student in an Organized Health Care Education/Training Program · Iowa City, IA

NPI number 1780253146 Active

Practice location

801 Newton Rd
Iowa City, IA 52242-1001

Call (319) 335-7440 Map

Fax (319) 335-7451

Mailing address

322 Dental Science Bldg S
Iowa City, IA 52242-1001

Other practice locations

  • 51300 Pomerantz Family Pavilion, Iowa City, IA 52242-1049 · (319) 356-2205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDDS-09907 (IA)
Dentist 122300000XDDS-09907 (IA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780253146

Brenden Khounlo's National Provider Identifier is 1780253146, issued on Jun 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Iowa City, IA. The record was last updated on Jul 8, 2026.