Provider Demographics
NPI:1356638357
Name:NEUBRANDER, DENNIS RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RAY
Last Name:NEUBRANDER
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 1:500 STATE ROAD 436
Mailing Address - Street 2:SUITE 2012
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5387
Mailing Address - Country:US
Mailing Address - Phone:407-339-7660
Mailing Address - Fax:407-339-4348
Practice Address - Street 1:500 STATE ROAD 436
Practice Address - Street 2:SUITE 2012
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5387
Practice Address - Country:US
Practice Address - Phone:407-339-7660
Practice Address - Fax:407-339-4348
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL71441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice