Wren Pediatric Dentistry, PLLC
Dentist, Pediatric Dentistry in Brandon, MS. Organization (NPI-2).
NPI number1235339284
StatusActive
Last updated in NPPESJul 18, 2007
Details
- NPI
- 1235339284
- Entity type
- Organization (NPI-2)
- Legal business name
- Wren Pediatric Dentistry, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2007
- Last updated
- Jul 18, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | PEDO-402-07 | MS | Yes |
Practice location
1390 W Government StSuite B
Brandon, MS 39042-3272
Phone 601-824-0093 · Fax 601-825-0240
Mailing address
1390 W Government StSuite B
Brandon, MS 39042-3272
Phone 601-824-0093 · Fax 601-825-0240
Authorized official
Josh Wren
Owner
6018240093
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Dentistry providers in Brandon, MS
- Kayla McCarver Bryant, DMDNPI 1912318882
- Henry William Cook, DMDNPI 1174608368
- Henry W. Cook, Dmd, PANPI 1669186722
- Joshua Wren, D.M.DNPI 1740308733
All 5 Pediatric Dentistry providers in Brandon · All 1,032 providers in Brandon
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