Provider Demographics
NPI:1043916000
Name:BRANDY HUTCHENS DDS INC
Entity Type:Organization
Organization Name:BRANDY HUTCHENS DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:HUTCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-890-7765
Mailing Address - Street 1:125 E N ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2728
Mailing Address - Country:US
Mailing Address - Phone:707-745-0636
Mailing Address - Fax:707-745-0667
Practice Address - Street 1:125 E N ST
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2728
Practice Address - Country:US
Practice Address - Phone:707-745-0636
Practice Address - Fax:707-745-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty