BRENNER DENTAL GROUP (NPI# 1699190488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699190488 |
| Entity Type | Organization |
| Organization Name | BRENNER DENTAL GROUP |
| Other Organization Name | BUFFALO DENTAL CLINIC |
| Practice Address |
102 Marty Dr Suite 3 Buffalo MN 55313-9305 |
| Practice Telephone | 7636822101 |
| Mailing Telephone | 7636822101 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | DR. COREY J BRENNER (OWNER) |
| Authorized Official Telephone | 6128191223 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D11525 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Buffalo Dental Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508281395 | Brenner Dental Group | Clinic/Center | 106 W Broadway St, Monticello, MN 55362-9351 | 2014-03-03 |
| Street Address |
102 MARTY DR SUITE 3 |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750483269 | Family Counseling Center Inc | Psychologist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-04 |
| 1699280321 | Stacia Wakefield | Counselor | 102 Marty Dr, Buffalo, MN 55313-9305 | 2017-12-04 |
| 1750582193 | Buffalo Dental Center | Dentist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2007-05-31 |
| 1871657817 | Gregory W Dunn | Dentist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-12-21 |
| 1700955259 | Amy Clark | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-11-07 |
| 1548368582 | Lorraine Hoffman | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1801994843 | Mark Pederson | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1982702924 | David Schmitt | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-21 |
| 1356449391 | Mary Marty | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1821196882 | Kathryn Kaminski-schmidt | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-20 |
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| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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|---|---|---|---|---|
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1861551798 | State of New York Comptrollers Office | Clinic/Center | 108a Squire Hall, Buffalo, NY 14214-3008 | 2006-12-06 |
| 1477564219 | Dental Care Associates of Buffalo Pa | Clinic/Center | 306 Brighton Ave S, Buffalo, MN 55313-2318 | 2006-08-10 |
| 1265040463 | Elana Korn Dds Pllc | Clinic/Center | 191 North St Ste 202, Buffalo, NY 14201-1510 | 2020-07-14 |
| 1134648017 | John B. Cart, Dds, Pllc | Clinic/Center | 172 Summer St, Buffalo, NY 14222-2206 | 2017-09-12 |
| 1588186522 | Roswell Park Cancer Institute | Clinic/Center | Elm and Carlton St, Buffalo, NY 14263-0001 | 2017-07-12 |
| 1538344197 | Richard M Costantini, D.d.s., P.C. | Clinic/Center | 1050 Abbott Rd, Buffalo, NY 14220-2400 | 2008-01-02 |
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|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
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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.