Myra J Brennan, DMD
Individual provider Active NPI Prosthodontics · Hingham, MA
NPI 1962652826 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1962652826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 19902 (MA)
- Practice address
- 24 Shipyard Dr Ste 203
Hingham, MA 02043-1673 - Phone
- (781) 361-3000
- NPI assigned
- Sep 26, 2008
- 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 |
|---|---|---|---|
| 19902 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 19902 | MA | Yes |
Addresses
Primary practice location
24 Shipyard Dr Ste 203
Hingham, MA 02043-1673
Mailing address
PO Box 51489
Boston, MA 02205-1489
Phone (781) 361-3000
Other providers in Hingham, MA
- Jenna Bolognese
- Jason Boney
- Kacey Rose Bongarzone
- Vanessa M. Boyington
- Carolyn Breitz
- Rosemary Brewer
- Kregg Brewster
- Bridgeway Wellness Center LLC
- Bright Light ADHD Coahcing
- Sydnie Brinkerhoff
All providers in Hingham, MA · Prosthodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. 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.