Dr Paul L Brandt Jr DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1604 Issued in AZ

Legal business name

DR PAUL L BRANDT JR DDS PC

Practice address

14231 N 7TH Street
Suite A1
Phoenix, AZ 85022

Phone

(602) 942-1461

Fax

(602) 942-1763

NPI assigned

Oct 31, 2006

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Louls Brandt Jr., DDS

Title

Owner

Phone

(602) 942-1461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1003992215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 N 7TH STREET",
            "address_2": "SUITE A1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "602-942-1461",
            "fax_number": "602-942-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 N 7TH STREET",
            "address_2": "SUITE A1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "602-942-1461",
            "fax_number": "602-942-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL L BRANDT JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LOULS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-942-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.