Provider Demographics
NPI:1295599751
Name:BRENNA MCLAIN DDS PLLC
Entity type:Organization
Organization Name:BRENNA MCLAIN DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENNA
Authorized Official - Middle Name:GOODWIN
Authorized Official - Last Name:MCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-688-6630
Mailing Address - Street 1:3740 DACORO LN STE 140
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-2504
Mailing Address - Country:US
Mailing Address - Phone:303-688-6630
Mailing Address - Fax:
Practice Address - Street 1:400 S COLORADO BLVD STE 720
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1240
Practice Address - Country:US
Practice Address - Phone:303-688-6630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRENNA MCLAIN DDS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-06
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental