| Branson Pediatric Dental LLC | |
|
714 State Highway 248 Ste 515 Branson MO 65616-3804 | |
| (417) 275-6333 | |
| (417) 883-5898 |
| Full Name | Branson Pediatric Dental LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 714 State Highway 248 Ste 515, Branson, Missouri |
| Authorized Official Name and Position | Creed Cardon (OWNER/DENTIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branson Pediatric Dental LLC 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Branson Pediatric Dental LLC 714 State Highway 248 Ste 515 Branson MO 65616-3804 Ph: (417) 275-6333 |
| NPI Number | 1902755465 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902755465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (NU) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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