| Brannon Dental Associates Pllc | |
|
350 Hospital Dr Spencer WV 25276-1049 | |
| (304) 927-2775 | |
| (304) 927-2777 |
| Full Name | Brannon Dental Associates Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |