Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY BRENNECKE
ActiveDR. BRADLEY BRENNECKE is a General Dentistry healthcare provider located in GOSHEN, Ohio. NPI 1063593861 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GOSHEN, OH
Registration Details
- NPI Number
- 1063593861
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.641022202616 yrs)
- Last Updated
- Jul 9, 2007
- License
-
16397 (OH)
Practice Information
- Address
-
6782 GOSHEN RDGOSHEN, OH, 451229317Browse OH providers · Browse ZIP 45122
- Phone
- 5137222933
- Fax
- 5137222923
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GOSHEN, OH
| Name | Credential | NPI |
|---|---|---|
| DR. MERWIN RUSSELL JONES III | DDS | 1790807949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.