Provider Demographics
NPI:1083836068
Name:HOOD, BRENTON SCOTT (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:BRENTON
Middle Name:SCOTT
Last Name:HOOD
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-1114
Mailing Address - Country:US
Mailing Address - Phone:530-343-7021
Mailing Address - Fax:530-343-3672
Practice Address - Street 1:2755 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-1114
Practice Address - Country:US
Practice Address - Phone:530-343-7021
Practice Address - Fax:530-343-3672
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA372331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics