Provider Demographics
NPI:1124573894
Name:APPIAH, BRENDA
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:
Last Name:APPIAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 CEDAR CREST DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7758
Mailing Address - Country:US
Mailing Address - Phone:469-288-1968
Mailing Address - Fax:
Practice Address - Street 1:5105 ELDORADO PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-8674
Practice Address - Country:US
Practice Address - Phone:214-387-0745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice