Brandtner, Alex J

Brandtner, Alex J is an individual health care provider with primary practice located at 5108 Jersey Ridge Rd Ste B, Davenport IA 52807. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brandtner, Alex J can be contacted via phone (563) 355-0437.

Contact Information

Primary practice address
5108 Jersey Ridge Rd Ste B Davenport IA 52807
Phone: (563) 355-0437
Fax: (563) 355-2742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 06736 Iowa

Profile Details

NPI number 1154382091
LBN Legal business name Brandtner, Alex J
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154382091 NPPES
Iowa MEDICAID 0207837

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