Brannon Dental Associates Pllc | |
350 Hospital Dr Spencer WV 25276-1049 | |
(304) 927-2775 | |
(304) 927-2777 |
Full Name | Brannon Dental Associates Pllc |
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Speciality | Dentist - General Practice |
Location | 350 Hospital Dr, Spencer, West Virginia |
Authorized Official Name and Position | Randall S. Brannon (PARTNER) |
Authorized Official Contact | 3049272775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brannon Dental Associates Pllc 350 Hospital Dr Spencer WV 25276-1049 Ph: (304) 927-2775 | Brannon Dental Associates Pllc 350 Hospital Dr Spencer WV 25276-1049 Ph: (304) 927-2775 |
NPI Number | 1275631871 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 01/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275631871 | NPI | - | NPPES |
3810005897 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | WV2812 (West Virginia) | Primary |