Matthew S Brennan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MATTHEW S BRENNAN DDS INC

Doing business as

Brennan Dental Group PC

Practice address

330 Park Place
Mishawaka, IN 46545

Phone

(574) 259-9956

Fax

(574) 259-9975

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Steele Brennan, DDS

Title

Dentist Owner

Phone

(574) 259-9956

Specialties & licenses 1

Addresses

Other names 1

• Brennan Dental Group PC Doing business as

Locations

Practitioners 1

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

• Kevin Patrick Bedford, DDS

  • Dentist
  • Mishawaka, IN
  • NPI 1063254415
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316092190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PARK PLACE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-259-9956",
            "fax_number": "574-259-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PARK PLACE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-259-9956",
            "fax_number": "574-259-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW S BRENNAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "574-259-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brennan Dental Group PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Masarira
• Kathleen Renee Mast, MSW, LCSW
• Rebecca Matanic
• Angela Marie Mattern, NP
• Erika Mattern
• Miranda J Matthews, MS
• Anna N Matulewicz, NP
• Heather J Mawson
• Maxim Healthcare Services, Inc.
• Blaine Maxson, D.C.

• General Practice Dentistry in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.