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JACOB BROTZMAN DMD PLLC
NPI 1699541813
Clinic/Center - Dental in Winston Salem, NC

Active since November 29, 2023
4721 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(919) 961-8552 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Brotzman Dmd Pllc NPPES

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

JACOB BROTZMAN DMD PLLC (NPI 1699541813), doing business as Restoration Dental, is a healthcare organization registered as a dental in Winston Salem, North Carolina and active in the NPI registry since November 2023. The organization lists Jacob Brotzman, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1699541813
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACOB BROTZMAN DMD PLLC
Location Address4721 COUNTRY CLUB RDWinston Salem, NC 27104-3521
Mailing Address14 E Devonshire StWinston Salem, NC 27127-3033 · (919) 961-8552
Phone(919) 961-8552
Organization SubpartNo
Authorized OfficialJacob BrotzmanGeneral Dentist · (919) 961-8552
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1699541813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4721 COUNTRY CLUB RD, Winston Salem, NC 27104
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Other Names 1

Doing Business AsRestoration Dental

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 Jacob Brotzman Dmd PLLC's NPI number?

The NPI number for Jacob Brotzman Dmd PLLC is 1699541813. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as Restoration Dental.

Where is Jacob Brotzman Dmd PLLC located?

Jacob Brotzman Dmd PLLC is located at 4721 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (919) 961-8552.

What is Jacob Brotzman Dmd PLLC'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 Jacob Brotzman Dmd PLLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.