Provider Demographics
NPI:1902810187
Name:PARSELL, BRENNA CHANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENNA
Middle Name:CHANG
Last Name:PARSELL
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 1:1300 W PLANO PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8744
Mailing Address - Country:US
Mailing Address - Phone:972-312-0514
Mailing Address - Fax:
Practice Address - Street 1:1300 W PLANO PKWY STE 120
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8744
Practice Address - Country:US
Practice Address - Phone:972-312-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice