NPI 1013070291

Craig J Brandenburg DDS LTD

Organisation General Practice Dentistry Minneapolis, MN

Practice location

Address: 5201 Bloomington Ave, Minneapolis, MN 55417-1819
Phone: (612) 721-6233
Fax: (612) 721-5723

Authorised official

Name: Craig J Brandenburg
Title: Owner
Phone: (612) 721-6233

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D9418 (MN)

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Registry record

NPI: 1013070291
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.