COREY J BRENNER DDS PLLC NPI 1689824898

NPI Information

  • NPI: 1689824898
  • Provider Name: COREY J BRENNER DDS PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: ROCKFORD DENTALCARE CENTER
  • Address: 9000 WALNUT ST
    BOX 236
    ROCKFORD, MN
    ZIP 55373
  • Phone: (763) 477-5794

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NPI Details

COREY J BRENNER DDS PLLC is a dental clinic center in Rockford, MN. COREY J BRENNER DDS PLLC NPI is 1689824898. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Rockford Dentalcare Center.

The provider's business location address is:

9000 WALNUT ST
BOX 236
ROCKFORD, MN
ZIP 55373-236
Phone: (763) 477-5794
Fax: (763) 477-4784

The provider's authorized official is Corey James Brenner .
The authorized official title is Owner and has the following contact phone number (763) 477-5794.

The enumeration date for this NPI number is 9/24/2008 and was last updated on 6/19/2019.

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
1261QD0000XClinic/CenterDentalD11525MINNESOTAYes

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: 3/30/2025

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