| M. Stephen Brandon, Dds Llc | |
|
1051 Gardner Rd Ste B Charleston SC 29407-5747 | |
| (843) 769-7759 | |
| (843) 769-7761 |
| Full Name | M. Stephen Brandon, Dds Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1051 Gardner Rd Ste B, Charleston, South Carolina |
| Authorized Official Name and Position | Michael Stephen Brandon (OWNER) |
| Authorized Official Contact | 8437697759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Stephen Brandon, Dds Llc 1051 Gardner Rd Ste B Charleston SC 29407-5747 Ph: (843) 769-7759 | M. Stephen Brandon, Dds Llc 1051 Gardner Rd Ste B Charleston SC 29407-5747 Ph: (843) 769-7759 |
| NPI Number | 1124296470 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124296470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4281 (South Carolina) | Primary |
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