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BRANDYWINE DENTAL GROUP P.C. NPI 1215995279


NPI Information

NPI: 1215995279
Provider Name: BRANDYWINE DENTAL GROUP, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
101 N STATE ST
GREENFIELD, IN
ZIP 46140
Phone: (317) 462-3456
Get Directions

BRANDYWINE DENTAL GROUP, P.C. is a general practice dentist in Greenfield, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRANDYWINE DENTAL GROUP, P.C. NPI is 1215995279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 N STATE ST
GREENFIELD, IN
ZIP 46140-177
Phone: (317) 462-3456
Fax: (317) 462-3465

The provider's authorized official is Brian L. Kirkwood .
The authorized official title is Owner and has the following contact phone number (317) 462-3456.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1209025INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000000104288OTHERINDIANABC/BS PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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