Active NPI
M. Stephen Brandon, DDS LLC
- Oral and Maxillofacial Surgery (Dentist)
- Charleston, SC
National Provider Identifier
1124296470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4281
- Legal business name
- M. STEPHEN BRANDON, DDS LLC
- Practice address
- 1051 Gardner Rd Ste B
Charleston, SC 29407-5747 - Phone
- (843) 769-7759
- Fax
- (843) 769-7761
- NPI assigned
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Stephen Brandon, DDS
- Title
- Owner
- Phone
- (843) 769-7759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4281 | SC | Primary |
Addresses
Primary practice location
1051 Gardner Rd Ste B
Charleston, SC 29407-5747
Mailing address
1051 Gardner Rd Ste B
Charleston, SC 29407-5747
Phone (843) 769-7759
National Provider Directory
National Provider DirectoryLocations
1051 Gardner Rd
Ste B
Charleston, SC 29407
Phone (843) 571-5188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- North Charleston, SC
- NPI 1982688560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1124296470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 GARDNER RD STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075747",
"telephone_number": "843-769-7759",
"fax_number": "843-769-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GARDNER RD STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075747",
"telephone_number": "843-769-7759",
"fax_number": "843-769-7761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. STEPHEN BRANDON, DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "BRANDON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-769-7759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "4281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.