Individual
MICHAEL T. BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 ABBEY PL, STE 220, CHARLOTTE, NC 28209-3835
(704) 512-2110
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7254
NC
125Q00000X
Oral Medicine Dentistry
7254
NC
Other
Enumeration date
10/16/2006
Last updated
07/15/2024
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