Organization
BRENNAN ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRENNAN DMD (PRESIDENT)
(401) 463-6350
Entity
Organization
Contact information
Practice address
1434 WARWICK AVE, WARWICK, RI 02888-5026
(401) 463-6350
(401) 463-5130
Mailing address
1434 WARWICK AVE, WARWICK, RI 02888-5026
(401) 463-6350
(401) 463-5130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN02587
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139-741
UNITED CONCORDIA
RI
01
—
41-00012
UNITED HEALTHCARE
RI
01
—
8037-4
BLUE CROSS
RI
01
—
RG0069
BLUE CROSS OF MA
RI
05
—
WB01101
—
RI
Enumeration date
12/06/2006
Last updated
08/22/2020
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