Brandon Family Dental

Organization Active NPI General Practice Dentistry · Ortonville, MI

NPI 1275923526 · NPPES record last updated Jan 26, 2015

Key facts

NPI
1275923526
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901020788 (MI)
Legal business name
BRANDON FAMILY DENTAL
Practice address
1201 S Ortonville Rd
Ortonville, MI 48462-7600
Phone
(248) 627-2866
NPI assigned
Jan 26, 2015
Organization subpart
No

Authorized official

Name
Angela Harrell, DDS
Title
Owner Dentist
Phone
(248) 520-1939

Practitioners 2

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

National Provider Directory

Locations

1201 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-2866

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 2901020788 MI Yes

Addresses

Primary practice location

1201 S Ortonville Rd
Ortonville, MI 48462-7600

Mailing address

1201 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-2866

Other providers in Ortonville, MI

All providers in Ortonville, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.