Provider Demographics
NPI:1255758710
Name:FINKELMEIER, BRETT RENNER (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:RENNER
Last Name:FINKELMEIER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:912 S RANGELINE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2337
Mailing Address - Country:US
Mailing Address - Phone:317-993-3789
Mailing Address - Fax:
Practice Address - Street 1:912 S RANGELINE RD STE 120
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2337
Practice Address - Country:US
Practice Address - Phone:317-993-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-23
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012112A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics