Jordan Brenner DDS, PLLC

General Practice Dentistry · Shoreline, WA

Organization Active NPI

NPI number 1609289073

Practice location

1359 N 205TH St
Suite a
Shoreline, WA 98133-3215
Phone
(206) 533-9693
Fax
(206) 533-9691

Open in Google Maps

NPI record

NPI
1609289073
Entity type
Organization (Type 2)
Enumeration date
June 3, 2014
Last updated
June 3, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE60291757 WA

Authorized official

Name
Dr. Jordan McDonald Brenner, D.D.S.
Title
Dentist
Phone
(563) 271-9529

Other names

  • Bright 32

About Jordan Brenner DDS, PLLC

Jordan Brenner DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1359 N 205TH St, Suite a, Shoreline, WA 98133-3215. The NPI number 1609289073 was assigned on June 3, 2014 and the record was last updated on June 3, 2014.

Jordan Brenner DDS, PLLC lists a license in the registry: #DE60291757 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Jordan McDonald Brenner, D.D.S., Dentist.

Frequently asked questions

What is the NPI number of Jordan Brenner DDS, PLLC?

The NPI number is 1609289073.

What is the phone number of Jordan Brenner DDS, PLLC?

The phone number listed for the practice location is (206) 533-9693.

Where is Jordan Brenner DDS, PLLC located?

1359 N 205TH St, Suite a, Shoreline, WA 98133-3215.

What is the taxonomy code for Jordan Brenner DDS, PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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 General Practice Dentistry providers in Shoreline

All General Practice Dentistry providers in Shoreline, WA →