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1740411818 NPI number — BRANDON JOSEPH STREIFF DMD

NPI Number: 1740411818
Health Care Provider/Practitioner: BRANDON JOSEPH STREIFF DMD

Information about “1740411818” NPI (BRANDON JOSEPH STREIFF DMD) exists in 1740411818 in HTML format HTML  |  1740411818 in plain Text format TXT  |  1740411818 in PDF (Portable Document Format) PDF  |  1740411818 in an XML format XML  formats.

NPI Number : 1740411818 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740411818",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STREIFF",
    "FirstName": "BRANDON",
    "MiddleName": "JOSEPH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1705 E WYLIE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DRAPER",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84020-7675",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-891-7485",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13957 S BANGERTER PKWY STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DRAPER",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84020-5429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "385-799-8500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2009",
    "LastUpdateDate": "11/01/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "48103949921",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "4810394-9921",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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