Breanna M Day, DMD
Individual provider Active NPI Dental Anesthesiology · Nicktown, PA
NPI 1386089431 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1386089431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Anesthesiology 1223D0004X
- License
- DS040709 (PA)
- Practice address
- 2636 Killen School Rd
Nicktown, PA 15762-8103 - Phone
- (814) 244-7241
- NPI assigned
- May 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040709 | PA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Dental Anesthesia | Dental Anesthesiology | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | DS040709 | PA | Yes |
Addresses
Primary practice location
2636 Killen School Rd
Nicktown, PA 15762-8103
Mailing address
2636 Killen School Rd
Nicktown, PA 15762-8103
Phone (814) 244-7241
Other providers in Nicktown, PA
- Alternative Community Resource Program, Inc.
- Nancy Louise Boring
- Day Dental Anesthesia
- Christina Link
All providers in Nicktown, PA · Dental Anesthesiology in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 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.