Dawn Gilmore Brannon, D.D.S.
Individual provider Active NPI General Practice Dentistry · Rockingham, NC
NPI 1003908948 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003908948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4466 (NC)
- Practice address
- 120 Mallard LN
Rockingham, NC 28379-5210 - Phone
- (910) 997-6663
- Fax
- (910) 997-6664
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226001428 | NC | Order and Referring Only - Dentist |
8325343478 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brannon&Alderman PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4466 | NC | Yes |
Addresses
Primary practice location
120 Mallard LN
Rockingham, NC 28379-5210
Mailing address
120 Mallard LN
Rockingham, NC 28379-5210
Phone (910) 997-6663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8991061 | Medicaid | NC |
Other providers in Rockingham, NC
- Courtney Pope Blake
- Charlotte Boone
- Bostic Counseling & Consulting
- Brandi Bostic
- Breanna Lee Bostick
- Brannon&Alderman PA
- Brewer Group, Inc.
- Harold Scott Brewer
- Tanya Byrd Brewer
- Tammy Lynn Brigman-Wallace
All providers in Rockingham, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.