Provider Demographics
NPI:1225604432
Name:STRINGAM, BRENNAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENNAN
Middle Name:
Last Name:STRINGAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2184 W MAIN ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6737
Mailing Address - Country:US
Mailing Address - Phone:801-472-6249
Mailing Address - Fax:
Practice Address - Street 1:3700 E CAMPUS DR STE 200A
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-4509
Practice Address - Country:US
Practice Address - Phone:801-789-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12316840-9923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist