Brendan Francis Mulligan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029181L Issued in PA

Practice address

208 W State St
Kennett Square, PA 19348-3023

Phone

(610) 444-3433

Fax

(610) 444-4360

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deron T. Kovac, D.M.D. & Brendan F. Mulligan, D.M.D.

  • Dentist
  • Kennett Square, PA
  • NPI 1285081174
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003037979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483023",
            "telephone_number": "610-444-3433",
            "fax_number": "610-444-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483023",
            "telephone_number": "610-444-3433",
            "fax_number": "610-444-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "BRENDAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029181L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Morris-Swope, PT
• Megan G. Morrison
• Samantha Ann Morrison
• Deborah Lepore Moyers, CRNP, FNP-BC
• Leslie Mudge, RDN, LDN
• Ryan Murphy, PT
• Ashley Marie Mussig, MS, OTR/L
• Myeyedr Optometry of Pennsylvania, LLC
• Myorthos Pennsylvania Orthodontics PC
• Lisa Marie Naeger, P.T.

• General Practice Dentistry in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.