Ronald C Brenner

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3424 Issued in NH

Legal business name

RONALD C BRENNER

Practice address

52 High St
New Boston, NH 03070-4027

Phone

(603) 487-2106

Fax

(603) 487-2337

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C Brenner, DDS

Title

Owner

Phone

(603) 487-2106

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• New Boston Dental Care, PLLC Other name

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1417096140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HIGH ST",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030704027",
            "telephone_number": "603-487-2106",
            "fax_number": "603-487-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HIGH ST",
            "city": "NEW BOSTON",
            "state": "NH",
            "postal_code": "030704027",
            "telephone_number": "603-487-2106",
            "fax_number": "603-487-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C BRENNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-487-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1690",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313625",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Boston Dental Care, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in New Boston, NH
• Providers in New Boston, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.