DR. JORDAN M BRENNER D.D.S.
NPI 1902152887
Dentist in Shoreline, WA

Active since July 30, 2012
1359 N 205TH ST, SHORELINE, WA 98133(206) 533-9693(206) 533-9691 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jordan M Brenner D.d.s. NPPES

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

DR. JORDAN M BRENNER D.D.S. (NPI 1902152887) is an individual dentist in Shoreline, Washington, licensed in Washington (DE60291757) and active in the NPI registry since July 2012. He maintains a secondary practice location in Cedar Falls.

NPPES Registry Identity

NPI1902152887
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN M BRENNERCredential: D.D.S.
Location Address1359 N 205TH STShoreline, WA 98133-3215
Mailing Address1359 N 205th StShoreline, WA 98133-3215 · (206) 533-9693 · Fax (206) 533-9691
Fax(206) 533-9691
Sole ProprietorNo
Enumeration DateJuly 30, 2012
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1902152887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in WA · DE60291757 Licensed in IA · DDS-09972
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.

1359 N 205TH ST, Shoreline, WA 98133

Secondary Practice Location 1

Location 1715 Bluegrass CirCedar Falls, IA 50613-7978 · Phone (319) 266-3545

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1359 N 205TH ST, SUITE A
SHORELINE, WA 98133
Dentist (General Practice)
1359 N 205TH ST
SHORELINE, WA 98133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902152887, enumerated as an "individual" on July 30, 2012.

The provider is located at 1359 N 205TH ST SHORELINE, WA 98133 and the phone number is (206) 533-9693.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.