Allyson Christine Brennan, DDS, MSD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Vails Gate, NY
NPI 1851920755 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1851920755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 063069 (NY)
- Practice address
- 69 Old Temple Hill Rd
Vails Gate, NY 12584 - Phone
- (845) 562-2063
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 063069 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 063069 | NY | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
69 Old Temple Hill Rd
Vails Gate, NY 12584
Mailing address
PO Box 512
Stormville, NY 12582-0512
Other providers in Vails Gate, NY
- Advanced Dental & Oral Surgery
- Aggies Full Beauty Salon
- Steven Gregg Birnbaum
- Carson Brady
- Anthony Cytryn
- Dominic A Emanuele
- Venkateswara Rao Inaganti
- Jules Optical Co, LTD
- Michael E. Kolman
All providers in Vails Gate, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. 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.