WREN PEDIATRIC DENTISTRY, PLLC (NPI# 1235339284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235339284 |
| Entity Type | Organization |
| Organization Name | WREN PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
1390 W Government St Suite B Brandon MS 39042-3272 |
| Practice Telephone | 6018240093 |
| Practice Fax Number | 6018250240 |
| Mailing Telephone | 6018240093 |
| Mailing Fax Number | 6018250240 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. JOSH WREN (OWNER) |
| Authorized Official Telephone | 6018240093 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
PEDO-402-07 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07707591 | 05 |
| Street Address |
1390 W GOVERNMENT ST SUITE B |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244702 | Pediatric Dental Center | Dentist | 517 Corner Drive, Brandon, FL 33511-5718 | 2012-04-16 |
| 1720213788 | Fesmire Dental Pllc | Dentist | 101 Avalon Ct, Suite C, Brandon, MS 39047-7641 | 2009-05-20 |
| 1184822629 | Jorge Orlando Torres Guzman | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2007-07-06 |
| 1740308733 | Joshua Wren | Dentist | 1390 W. Government Street, Suite B, Brandon, MS 39042 | 2007-03-27 |
| 1003930579 | William Edward Gonzalez | Dentist | 517 Corner St, Brandon, FL 33511-5718 | 2007-03-19 |
| 1174608368 | Henry William Cook | Dentist | 142 Gateway Dr, Brandon, MS 39042-3085 | 2006-10-26 |
| 1346335486 | Billy P Edgar | Dentist | 101 Avalon Court, Suite C, Brandon, MS 39047-7641 | 2006-10-04 |
| 1205285459 | Robert Krachenfels | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2016-06-08 |
| 1477971919 | Priyanka Iyer | Dentist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2014-04-02 |
| 1285060905 | Lyda Maria Lopez | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2013-09-26 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.