Provider Demographics
NPI:1821550021
Name:BRASHIER, COURTNEY TREMMEL (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:TREMMEL
Last Name:BRASHIER
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77758
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70879-7758
Mailing Address - Country:US
Mailing Address - Phone:225-924-6622
Mailing Address - Fax:225-926-3384
Practice Address - Street 1:4607 SHERWOOD COMMON BLVD BLDG 1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4892
Practice Address - Country:US
Practice Address - Phone:225-924-6622
Practice Address - Fax:225-926-3384
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0442000366390200000X
LA72661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program