Provider Demographics
NPI:1669474466
Name:SCHWINDT, BRANDON JASON (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:JASON
Last Name:SCHWINDT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11565 SW DURHAM RD
Mailing Address - Street 2:BLDG F, SUITE 100
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-3553
Mailing Address - Country:US
Mailing Address - Phone:503-620-2777
Mailing Address - Fax:503-620-2070
Practice Address - Street 1:11565 SW DURHAM RD
Practice Address - Street 2:BLDG F, SUITE 100
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-3553
Practice Address - Country:US
Practice Address - Phone:503-620-2777
Practice Address - Fax:503-620-2070
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD79661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry