William Harold Branham, D.M.D.
Individual provider Active NPI Dentist · Mebane, NC
NPI 1053668038 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1053668038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3652 (NC)
- Practice address
- 1158 Newberry Dr
Mebane, NC 27302-7702 - Phone
- (919) 563-9955
- NPI assigned
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3652 | NC | Yes |
Addresses
Primary practice location
1158 Newberry Dr
Mebane, NC 27302-7702
Mailing address
1158 Newberry Dr
Mebane, NC 27302-7702
Phone (919) 563-9955
Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.