Provider Demographics
NPI:1538646443
Name:BRENT H. BERNIER, DDS, PLLC
Entity Type:Organization
Organization Name:BRENT H. BERNIER, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTISIT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:HAYWARD
Authorized Official - Last Name:BERNIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-774-5777
Mailing Address - Street 1:674 MERRIMON AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3586
Mailing Address - Country:US
Mailing Address - Phone:828-774-5777
Mailing Address - Fax:828-774-5723
Practice Address - Street 1:674 MERRIMON AVE STE 230
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3586
Practice Address - Country:US
Practice Address - Phone:828-774-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty