NPI 1053594416

Brandon Schvaneveldt, DDS

Practitioner General Practice Dentistry Logan, UT

Practice location

Address: 398 South Main Suite 120, Logan, UT 84321
Phone: (435) 752-1434
Fax: (435) 752-1986
Mailing address: 398 South Main Suite 120, Logan, UT 84321-3445

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5412590-9922 (UT)

Other Dentist providers in Utah →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 5412590-8903 (UT)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence D-3699 (ID)

Registry record

NPI: 1053594416
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2007
Record last updated: 18 Jan 2019

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.