Brandon Siaj, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123498 Issued in GA

Practice address

276 Pooler Pkwy Ste a
Pooler, GA 31322-5163

Phone

(912) 330-9070

NPI assigned

Jul 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jebediah S Christy DDS - Pooler PLLC

  • Dental Clinic/Center
  • Pooler, GA
  • NPI 1043617293
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1194561191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PENNYSTONE RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 POOLER PKWY STE A",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225163",
            "telephone_number": "912-330-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAJ",
        "first_name": "BRANDON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Sharkins
• Keana Shaw
• Teri Ashlea Shoop
• Kerry Kathleen Shuffelbottom, PA-C
• Ethan Daniel Shuford
• Whitney Sigler, BT
• Mikaela Simmons
• Trickera T Sims, FNP-BC
• Charlotte Jeanne Singh
• Leslie Birdsong Sizemore, M.D.

• Dentist in Pooler, GA
• Providers in Pooler, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.