SearchNew Mexico225100000X

Shane O'Brennan

NPI 1518741073 · on the registry since 2023

Practice

Address
4411 San Mateo Blvd Ne Ste 11
Albuquerque, NM 87109
Phone
(515) 217-3907
Organisation at this address
Peppermint Dental-Montgomery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 50 Commons Way Ste D, Oxford, AL
  • 1941 Savage Rd Ste 300a, Charleston, SC
  • 12750 Cinnamon Ct, Rolla, MO

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
Licence states on file
NM, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-18

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 New Mexico