Organization
D BRENKERT ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS RICHARD BRENKERT DDS, MS (MEMBER)
(307) 638-8958
Entity
Organization
Contact information
Practice address
7010 YELLOWTAIL RD, #200, CHEYENNE, WY 82009-6113
(307) 638-8958
(970) 482-4980
Mailing address
721 DARTMOUTH TRL, FORT COLLINS, CO 80525-1522
(970) 482-4980
(970) 482-4980
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
962
WY
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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