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BREMEN DENTAL DEPOT LLC
NPI 1487173217
Clinic/Center - Dental in Bremen, GA

Active since September 13, 2017
302 LAUREL ST, BREMEN, GA 30110(770) 537-4439(770) 537-3708 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017, Sep 13, 2017 (3 updates tracked since 2017).

About Bremen Dental Depot Llc NPPES

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

BREMEN DENTAL DEPOT LLC (NPI 1487173217) is a healthcare organization registered as a dental in Bremen, Georgia and active in the NPI registry since September 2017. The organization lists Stephen J Blank, Owner, as its authorized official.

NPPES Registry Identity

NPI1487173217
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBREMEN DENTAL DEPOT LLC
Location Address302 LAUREL STBremen, GA 30110-2124
Mailing Address302 Laurel StBremen, GA 30110-2124 · (770) 537-4439 · Fax (770) 537-3708
Phone(770) 537-4439
Fax(770) 537-3708
Organization SubpartNo
Authorized OfficialStephen J BlankOwner · (678) 822-4714
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1487173217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
302 LAUREL ST, Bremen, GA 30110
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH CHANDLER ENTREKIN DMD
Dentist (General Practice)
302 LAUREL ST
BREMEN, GA 30110
Haralson County (770) 537-4439
DR. STEPHEN JAMES BLANK DMD
Dentist
302 LAUREL ST
BREMEN, GA 30110
Haralson County (770) 537-4439
DR. HARRY BOYD WILLIAMS JR. D.D.S.
Dentist (General Practice)
302 LAUREL ST
BREMEN, GA 30110
Haralson County (770) 537-4439

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 Bremen Dental Depot LLC's NPI number?

The NPI number for Bremen Dental Depot LLC is 1487173217. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Bremen Dental Depot LLC located?

Bremen Dental Depot LLC is located at 302 Laurel St, Bremen, GA 30110. The listed phone number is (770) 537-4439.

What is Bremen Dental Depot LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bremen Dental Depot LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.