Provider Demographics
NPI:1316234305
Name:NEUBRANDER, DOROTHY E (DDS)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:E
Last Name:NEUBRANDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:DOROTHY
Other - Middle Name:ELAINE
Other - Last Name:NORTHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 STATE ROAD 436
Mailing Address - Street 2:SUITE 2012
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5387
Mailing Address - Country:US
Mailing Address - Phone:407-339-7660
Mailing Address - Fax:407-339-4348
Practice Address - Street 1:500 STATE ROAD 436
Practice Address - Street 2:SUITE 2012
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5387
Practice Address - Country:US
Practice Address - Phone:407-339-7660
Practice Address - Fax:407-339-4348
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL77981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice