Brent R Neidenthal DDS
Organization Active NPI General Practice Dentistry · Holly Springs, NC
NPI 1194417931 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1194417931
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BRENT R NEIDENTHAL DDS
- Practice address
- 1100 Holly Springs Rd Ste 115
Holly Springs, NC 27540-9469 - Phone
- (919) 346-7759
- NPI assigned
- May 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Amanda Noelle Groeschel
- Title
- Director
- Phone
- (704) 978-9800
National Provider Directory
Locations
1100 Holly Springs Rd
Ste 115
Holly Springs, NC 27540
Phone (919) 346-7759
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1100 Holly Springs Rd Ste 115
Holly Springs, NC 27540-9469
Mailing address
1100 Holly Springs Rd Ste 115
Holly Springs, NC 27540-9469
Phone (919) 346-7759
Other names
- Sunset Ridge Family Dentistry
Other providers in Holly Springs, NC
- Riena Bowen
- Katherine Bowyer
- Tara Long Boyd
- Stacy Bradley
- Danielle Brandenburg
- Jody Lametta Bresee
- Tishira R Brewington-Williams
- Joe Brewton
- Bright Futures Counseling, LLC
- Brightwater Wellness, LLC
All providers in Holly Springs, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.