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DR. BRIAN MICHAEL BRANCHEAU DDS, MSD
NPI 1407289457
Dentist - Periodontics in Lynnwood, WA

Active since August 14, 2013
4100 194TH ST SW STE 209, LYNNWOOD, WA 98036(206) 422-5083 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Michael Brancheau Dds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN MICHAEL BRANCHEAU DDS, MSD (NPI 1407289457) is an individual periodontics provider in Lynnwood, Washington, licensed in Washington (DE60306318) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1407289457
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRIAN MICHAEL BRANCHEAUCredential: DDS, MSD
Location Address4100 194TH ST SW STE 209Lynnwood, WA 98036-4613
Mailing Address4100 194th St Sw Ste 209Lynnwood, WA 98036-4613 · (206) 422-5083
Phone(206) 422-5083
Sole ProprietorYes
Enumeration DateAugust 14, 2013
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1407289457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · DE60306318
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DE 60306318 (WA)
4100 194TH ST SW STE 209, Lynnwood, WA 98036
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Brancheau's NPI number?

The NPI number for Brian Brancheau is 1407289457. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Brian Brancheau located?

Brian Brancheau practices at 4100 194th St SW Ste 209, Lynnwood, WA 98036. The listed phone number is (206) 422-5083.

What is Brian Brancheau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Brian Brancheau was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.