Dr. Brian Penton
Dentist Orthodontists
1615 Truemper St Bldg 6418
Lackland Afb
, Texas 78236-5511
Dr. Brian Penton
Dentist Orthodontists
1615 Truemper St Bldg 6418
Lackland Afb
, Texas 78236-5511
(210) 292-0694
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About
Features
Specialties
- Dentist
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Brian Penton
- 1615 Truemper St Bldg 6418
- Lackland Afb, TX
- Zip : 78236-5511
- Phone : (210) 292-0694
Second Address
- Dr. Brian Penton
- 1615 Truemper St Bldg 6418
- Lackland Afb, TX
- Zip : 78236-5511
- Phone : (210) 292-0694
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Is Dr. Brian Penton accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | D11755 | MN |
| Y | 1223X0400X | Orthodontists | 34385 | TX |
National Provider Identifier
| NPI | 1053303644 |
|---|---|
| Provider Name | Dr. Brian Penton |
| First Address | Lackland Afb, TX 78236-5511 |
| Second Address | Lackland Afb, TX 78236-5511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 30/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D11755 | DENTIST (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.