Theresa Conena Brennan
Dental Hygienist
200 Harrison Ave Fl 2
Boston
, Massachusetts 02111-1836
Theresa Conena Brennan
Dental Hygienist
200 Harrison Ave Fl 2
Boston
, Massachusetts 02111-1836
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Theresa Conena Brennan
- 122 Williams St
- Wrentham, MA
- Zip : 02093-1828
- Phone :
Second Address
- Theresa Conena Brennan
- 200 Harrison Ave Fl 2
- Boston, MA
- Zip : 02111-1836
- Phone : (617) 291-2217
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FAQs
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What is Theresa Conena Brennan ’s gender?
Is Theresa Conena Brennan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH5588 | MA |
National Provider Identifier
| NPI | 1063902906 |
|---|---|
| Provider Name | Theresa Conena Brennan |
| First Address | Wrentham, MA 02093-1828 |
| Second Address | Boston, MA 02111-1836 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2018 |
| Last Update Date | 16/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110000011J | (05) | MA |
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.