Provider Demographics
NPI:1528241890
Name:HUTCHENS, BRANDY (DDS)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:
Last Name:HUTCHENS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E N ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2728
Mailing Address - Country:US
Mailing Address - Phone:707-745-0636
Mailing Address - Fax:707-745-0667
Practice Address - Street 1:321 1ST ST STE 203
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3268
Practice Address - Country:US
Practice Address - Phone:707-745-8264
Practice Address - Fax:707-745-1959
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47628122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist