Brandenburg, Craig J

Brandenburg, Craig J is an individual health care provider with primary practice located at 4165 Shoreline Dr Suite 30, Spring Park MN 55384-9659. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brandenburg, Craig J can be contacted via phone (952) 471-0047.

Contact Information

Primary practice address
4165 Shoreline Dr Suite 30 Spring Park MN 55384-9659
Phone: (952) 471-0047
Fax: (952) 417-8665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9418 Minnesota

Profile Details

NPI number 1912060674
LBN Legal business name Brandenburg, Craig J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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