NPI 1821169079 · live from the CMS NPI Registry
Leroy O Brend, DDS
Dentist in Bismarck, ND. National Provider Identifier 1821169079, active.
NPI record
| NPI | 1821169079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1143 W Turnpike Ave, Bismarck, ND 58501 |
| Practice phone | 701-255-2467 |
| Enumerated | November 10, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1418 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.