Provider Demographics
NPI:1700111093
Name:NOORDMANS, BRANDI (DDS)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:NOORDMANS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 S PADRE ISLAND DR
Mailing Address - Street 2:#600
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-1353
Mailing Address - Country:US
Mailing Address - Phone:831-295-0824
Mailing Address - Fax:
Practice Address - Street 1:1620 S PADRE ISLAND DR
Practice Address - Street 2:#600
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1353
Practice Address - Country:US
Practice Address - Phone:831-295-0824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist