Provider Demographics
NPI:1174963904
Name:BRECHER, ERICA ANN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ANN
Last Name:BRECHER
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:ANN
Other - Last Name:STUTIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1300 THORNTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4654
Mailing Address - Country:US
Mailing Address - Phone:540-371-3222
Mailing Address - Fax:
Practice Address - Street 1:1300 THORNTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4654
Practice Address - Country:US
Practice Address - Phone:540-371-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014153161223P0221X
NC101321223P0221X
MADN18568461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry