Organization
GREGORY C. BRANDT, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. BRANDT (PRESIDENT)
(515) 964-1490
Entity
Organization
Contact information
Practice address
907 N. ANKENY BLVD., ANKENY, IA 50023
(515) 964-1490
(515) 965-5603
Mailing address
PO BOX 547, ANKENY, IA 50021-0547
(515) 964-1490
(515) 965-5603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6962
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514194
—
IA
Enumeration date
02/21/2007
Last updated
09/20/2007
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