# BRANDAN L LEBOURDAIS DDS MS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568443414
- **Authorized official:** DR. BRANDAN LEE LEBOURDAIS DDS, MS (PRESIDENT)
- **Authorized official phone:** (989) 894-2929

## Contact information

- **Practice address:** 916 WASHINGTON AVE, STE 325, BAY CITY, MI 48708-5723
- **Practice address phone:** (989) 894-2929
- **Practice address fax:** (989) 894-4644
- **Mailing address:** 916 WASHINGTON AVE, STE 325, BAY CITY, MI 48708-5723
- **Mailing address phone:** (989) 894-2929
- **Mailing address fax:** (989) 894-4644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 08/22/2020