DR. ALISHA DIANE BRENNEN D.D.S. NPI 1942748140

NPI Information

  • NPI: 1942748140
  • Provider Name: DR. ALISHA DIANE BRENNEN, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 10201 MARTIN LUTHER KING JR HWY UNIT 240A
    BOWIE, MD
    ZIP 20720
  • Phone: (240) 764-5753

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NPI Details

DR. Alisha Diane Brennen, D.D.S. is a pediatric dentistry dentist in Bowie, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Alisha Diane Brennen, D.D.S. NPI is 1942748140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10201 MARTIN LUTHER KING JR HWY UNIT 240A
BOWIE, MD
ZIP 20720-003
Phone: (240) 764-5753
Fax: (240) 764-5799

The enumeration date for this NPI number is 2/8/2017 and was last updated on 10/1/2024.

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
1122300000XDentist16215MARYLANDNo
21223P0221XDentistPediatric Dentistry16215MARYLANDYes

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
1800126350MEDICAIDMARYLAND

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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