Jason Brenner
NPI 1285044222 · on the registry since 2014
Practice
- Address
- 10020 Grand Ave
Franklin Park, IL 60131 - Phone
- (847) 455-8383
- Fax
- (847) 455-1265
- Organisation at this address
- Grand Dental Associates P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois