Brand Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRAND DENTAL

Practice address

401 Market St Ste 102
Kingston, PA 18704-5417

Phone

(570) 749-3900

NPI assigned

Oct 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen BrandNPI 1457994568

Title

Owner/General Dentist

Phone

(570) 749-3900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Brand, DMD

  • General Practice Dentistry
  • Kingston, PA
  • NPI 1457994568
  NPD Authorized official
• Tatum Adette Lutz, DMD

  • General Practice Dentistry
  • Kingston, PA
  • NPI 1619725058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1124628524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARKET ST STE 102",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045417",
            "telephone_number": "570-749-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARKET ST STE 102",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045417",
            "telephone_number": "570-749-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "570-749-3900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@branddentistry.com",
            "affiliation": "N",
            "address_1": "401 Market St Ste 102",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187045417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Walter Bohlander, PHD
• Bonita M Mancia M.D.
• Matthew Booth, CRNP
• Fereshteh Boozarjomehri, MD
• Elizabeth Anne Bordy, PA-C
• Stephen Brand, DMD
• Louise Breakstone, M.D.
• Brian J. Marien MD LLC
• Bright Achievements of PA LLC
• Lydia Brill, PSY.D.

• Dental Clinic/Center in Kingston, PA
• Providers in Kingston, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.