MEDICARE: BRANDON L BIEHLER DMD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE60669055	WA

General Provider Information

NPI Number	:	1811441314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDON L BIEHLER DMD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 40
Second Line	:
City	:	FREELAND
State	:	WA
Zip	:	98249-0040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1659 LAYTON RD
Second Line	:
City	:	FREELAND
State	:	WA
Zip	:	98249-9456
Country	:	US
Telephone Number	:	360-331-6100
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. BRANDON BIEHLER
Credential	:	DMD
Telephone Number	:	360-331-6100

Provider Enumeration Date	:	08/12/2016
Last Update Date	:	08/12/2016

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