CONNOR STEVEN BRESNAHAN DDS
NPI 1609570100
Dentist in Fort Wayne, IN

Q: What is Connor Bresnahan's NPI number?

The NPI number for Connor Bresnahan is 1609570100. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Connor Bresnahan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Bresnahan was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since March 28, 2023

4041 PARNELL AVE, FORT WAYNE, IN 46805(214) 578-4387 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Mar 28, 2023 (2 updates tracked since 2023).

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About Connor Steven Bresnahan Dds NPPES

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

CONNOR STEVEN BRESNAHAN DDS (NPI 1609570100) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12014542A) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1609570100

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameCONNOR STEVEN BRESNAHANCredential: DDS

Location Address4041 PARNELL AVEFort Wayne, IN 46805-1413

Mailing Address256 W Hamilton Rd NFort Wayne, IN 46814-0107 · (214) 578-4387

Phone(214) 578-4387

Sole ProprietorYes

Enumeration DateMarch 28, 2023

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1609570100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12014542A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4041 PARNELL AVE, Fort Wayne, IN 46805

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Other Providers at the Same Location NPPES 10

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

DR. ELI BERTRAM ALLEN DDS

Dentist (General Practice)