John J. Brodner

Organization Active NPI General Practice Dentistry · Tequesta, FL

NPI 1104911775 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104911775
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN14999 (FL)
Legal business name
JOHN J. BRODNER
Practice address
399 Tequesta Dr.
Suite 103
Tequesta, FL 33469-3087
Phone
(561) 746-7600
Fax
(561) 743-9884
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

Name
Dr. John Jason Brodner, D.M.D.
Title
President
Phone
(561) 746-7600

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

399 Tequesta Dr
Ste 103
Tequesta, FL 33469
Phone (561) 746-7600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN14999 FL Yes

Addresses

Primary practice location

399 Tequesta Dr.
Suite 103
Tequesta, FL 33469-3087

Mailing address

399 Tequesta Dr.
Suite 103
Tequesta, FL 33469-3087
Phone (561) 746-7600

Other providers in Tequesta, FL

All providers in Tequesta, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.