NPI 1831752880 · live from the CMS NPI Registry
Brennan Ree Bahnson, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Newport, OR. National Provider Identifier 1831752880, active.
NPI record
| NPI | 1831752880 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 127 Ne Eads St, Newport, OR 97365 |
| Practice phone | 541-265-9466 |
| Mailing address | 60 Barre Cir, Chicopee, MA 01013 |
| Enumerated | April 16, 2019 |
| Last updated | October 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN1858235 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D11451 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.