Provider Demographics
NPI:1295974236
Name:LOEHR, BRENDAN BOOKER (DMD)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:BOOKER
Last Name:LOEHR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 RANCH ROAD 2222 APT 49
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2341
Mailing Address - Country:US
Mailing Address - Phone:512-960-7997
Mailing Address - Fax:
Practice Address - Street 1:BRITEX DENTAL 10200 BOULDER LANE
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726
Practice Address - Country:US
Practice Address - Phone:512-960-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30932122300000X
MA22335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist