Provider Demographics
NPI:1356833792
Name:BRANTMAN, KARLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARLEY
Middle Name:
Last Name:BRANTMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-3827
Mailing Address - Country:US
Mailing Address - Phone:319-321-4830
Mailing Address - Fax:
Practice Address - Street 1:4332 CENTER POINT RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3181
Practice Address - Country:US
Practice Address - Phone:319-365-4997
Practice Address - Fax:319-365-6822
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09539122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist