CHARLES LAWRENCE BRANDENBURG JR. (NPI# 1639384373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639384373 |
| Entity Type | Individual |
| Full Name | CHARLES LAWRENCE BRANDENBURG JR. |
| Credential | DDS PA |
| Practice Address |
408 Pearl St Rising Sun MD 21911 |
| Mailing Address |
Po Box 471 408 Pearl St Rising Sun MD 21911 |
| Practice Telephone | 4106585355 |
| Practice Fax Number | 4106589979 |
| Mailing Telephone | 4106585355 |
| Mailing Fax Number | 4106589979 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2910 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962686071 | Charles L Brandenburg IIi | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| Street Address |
408 PEARL ST |
| City | RISING SUN |
| State | MD |
| Zip Code | 21911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952490849 | Daniel L Rosman | Physical Therapist | 223 E. Main Street, Suite B, Rising Sun, MD 21911 | 2006-10-11 |
| 1609960145 | Jodi Lenoir French | Clinical Neuropsychologist | Chesapeake Behavioral Health, 221-c East Main Street, Rising Sun, MD 21911 | 2006-10-02 |
| 1669494753 | Dominick Joseph Guessford | Physical Therapy Assistant | 223 East Main St, Suite B, Rising Sun, MD 21911 | 2006-07-24 |
| 1376575373 | Giant Food Stores, LLC | Pharmacy | 24 Rising Sun Towne Center, Rising Sun, MD 21911 | 2006-07-07 |
| 1992748636 | Thomas J Connelly Jr | Pharmacy | 1 North Queen Street, Rising Sun, MD 21911 | 2006-06-13 |
| 1528517653 | Dakotah Catherine Greif | Physical Therapist | 52 Rising Sun Town Ctr, Rising Sun, MD 21911 | 2016-09-30 |
| 1306093570 | Jennifer Diane Slaybaugh | Physical Therapy Assistant | 1/2 Louise Court, Rising Sun, MD 21911-0113 | 2008-08-19 |
| 1982814661 | Shawn Carroll Brennan | Dentist | 9 South Queen Street, Rising Sun, MD 21911-0504 | 2007-05-23 |
| 1033583943 | Steven Brent Andrus | Counselor | 125 Algonquin Dr, Rising Sun, MD 21911-1315 | 2015-11-17 |
| 1003380643 | Kaitlan Phillips | Social Worker | 19 Ridge Rd, Rising Sun, MD 21911-1545 | 2019-01-16 |
| Find all providers in zip 21911 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982814661 | Shawn Carroll Brennan | Dentist | 9 South Queen Street, Rising Sun, MD 21911-0504 | 2007-05-23 |
| 1174537807 | Gregory James Willhite | Dentist | 303 Industrial Access Rd, Rising Sun, IN 47040-8915 | 2006-07-28 |
| 1205840949 | Kelly Erin Willhite | Dentist | 303 Industrial Access Rd, Rising Sun, IN 47040-8915 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | RISING SUN |
| Zip Code | 21911 |
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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.