Provider Demographics
NPI:1235659970
Name:BRAND, ALLISON JENNIFER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:JENNIFER
Last Name:BRAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MADISON AVE STE A08
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7365
Mailing Address - Country:US
Mailing Address - Phone:973-898-6600
Mailing Address - Fax:
Practice Address - Street 1:95 MADISON AVE STE A08
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7365
Practice Address - Country:US
Practice Address - Phone:973-898-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041676122300000X, 1223P0221X
PA390200000X
NJDI1275321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program