Brandon D. Dewitt, DDS, MSD

Prosthodontics · Minneapolis, MN

Individual Active NPI

NPI number 1043488836

Practice location

701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-6275
Fax
(612) 904-4234

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NPI record

NPI
1043488836
Entity type
Individual (Type 1)
Enumeration date
February 14, 2008
Last updated
April 7, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X D12597 MN
Dentist 122300000X R386 MN

About Dr. Dewitt

Brandon D. Dewitt, DDS, MSD is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 701 Park Ave, Minneapolis, MN 55415-1623. The NPI number 1043488836 was assigned on February 14, 2008 and the record was last updated on April 7, 2011.

Dr. Dewitt lists 2 licenses in the registry: #D12597 (MN) for Prosthodontics; #R386 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandon D. Dewitt, DDS, MSD?

The NPI number is 1043488836.

What is the phone number of Dr. Dewitt?

The phone number listed for the practice location is (612) 873-6275.

Where is Dr. Dewitt located?

701 Park Ave, Minneapolis, MN 55415-1623.

What is the taxonomy code for Dr. Dewitt?

The primary taxonomy code is 1223P0700X – Prosthodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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