Organization Active NPI

Colin R. Branton,DMD

  • General Practice Dentistry
  • South Williamsport, PA
National Provider Identifier
1184975757
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030290L Issued in PA
Legal business name
COLIN R. BRANTON,DMD
Practice address
2687 Euclid Ave
South Williamsport, PA 17702-6754
Phone
(570) 326-5456
Fax
(540) 323-4550
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Dr. Colin Russell Branton, D.M.D.NPI 1619180239
Title
Dentist/ Owner
Phone
(570) 326-5456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS030290L PA Primary

Addresses

Primary practice location

2687 Euclid Ave
South Williamsport, PA 17702-6754

Mailing address

2687 Euclid Ave
South Williamsport, PA 17702-6754
Phone (570) 326-5456

National Provider Directory

National Provider Directory

Locations

2687 Euclid Ave
Williamsport, PA 17702
Phone (570) 326-5456

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1184975757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 EUCLID AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026754",
            "telephone_number": "570-326-5456",
            "fax_number": "540-323-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 EUCLID AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026754",
            "telephone_number": "570-326-5456",
            "fax_number": "540-323-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN R. BRANTON,DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "BRANTON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "570-326-5456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030290L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.