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General NPI Number Information
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NPI Number | 1295599751
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Entity Type | Organization
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Legal Business Name | BRENNA MCLAIN DDS PLLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 400 S COLORADO BLVD STE 720
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City | DENVER
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State | CO
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Zip | 80246-1240
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Country | US
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Telephone | 303-688-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S COLORADO BLVD STE 720
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City | DENVER
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State | CO
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Zip | 80246-1240
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Country | US
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Telephone | 303-688-6630
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | BRENNA GOODWIN MCLAIN
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Credential |
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Telephone | 303-688-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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