Brandon James Penaz, DDS
Dentist · Waconia, MN
Practice location
8775 Airport RdWaconia, MN 55387-9634
- Phone
- (952) 239-2664
NPI record
- NPI
- 1538428909
- Entity type
- Individual (Type 1)
- Enumeration date
- May 4, 2012
- Last updated
- June 29, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
13072 | MN |
About Dr. Penaz
Brandon James Penaz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8775 Airport Rd, Waconia, MN 55387-9634. The NPI number 1538428909 was assigned on May 4, 2012 and the record was last updated on June 29, 2012.
Dr. Penaz lists a license in the registry: #13072 (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 James Penaz, DDS?
The NPI number is 1538428909.
What is the phone number of Dr. Penaz?
The phone number listed for the practice location is (952) 239-2664.
Where is Dr. Penaz located?
8775 Airport Rd, Waconia, MN 55387-9634.
What is the taxonomy code for Dr. Penaz?
The primary taxonomy code is 122300000X – Dentist.
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.
Other Dentist providers in Waconia
- Mark F. Bradshaw, DDS24 S Olive St