Healthcare Provider Details

I. General information

NPI: 1184385593
Provider Name (Legal Business Name): BRENNA MCLAIN, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W HAPPY CANYON RD
CASTLE ROCK CO
80108-3908
US

IV. Provider business mailing address

400 S COLORADO BLVD STE 720
DENVER CO
80246-1240
US

V. Phone/Fax

Practice location:
  • Phone: 303-688-6630
  • Fax: 303-663-6534
Mailing address:
  • Phone: 303-688-6630
  • Fax: 303-663-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRENNA MCLAIN
Title or Position: OWNER
Credential: DDS
Phone: 303-688-6630