Jordan M. Brenner, D.D.S.

Dentist · Shoreline, WA

Individual Active NPI

NPI number 1902152887

Practice location

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

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NPI record

NPI
1902152887
Entity type
Individual (Type 1)
Enumeration date
July 30, 2012
Last updated
November 28, 2023
Certified
November 28, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE60291757 WA
Dentist 122300000X DDS-09972 IA

Other practice locations (1)

  • 715 Bluegrass Cir, Cedar Falls, IA 50613-7978 · (319) 266-3545

About Dr. Brenner

Jordan M. Brenner, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1359 N 205TH St, Shoreline, WA 98133-3215. The NPI number 1902152887 was assigned on July 30, 2012 and the record was last updated on November 28, 2023.

Dr. Brenner lists 2 licenses in the registry: #DE60291757 (WA) for Dentist; #DDS-09972 (IA) 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 Jordan M. Brenner, D.D.S.?

The NPI number is 1902152887.

What is the phone number of Dr. Brenner?

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

Where is Dr. Brenner located?

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

What is the taxonomy code for Dr. Brenner?

The primary taxonomy code is 122300000X – Dentist; 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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