IndividualActive
Brian Brancheau, DDS, MSD
NPI 1407289457 · Periodontics · Lynnwood, WA
Provider details
- NPI number
- 1407289457
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE 60306318 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4100 194th St Sw Ste 209
Lynnwood, WA 98036-4613
Phone: (206) 422-5083
Approximate (ZIP-level) locationGet directions
Mailing address
4100 194th St Sw Ste 209
Lynnwood, WA 98036-4613
Registry dates
- Enumerated
- 2013-08-14
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.