Brant Sandifer DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRANT SANDIFER DMD LLC

Doing business as

Aesthetic Dental Associates

Practice address

1520 Jennings Mill Rd Ste a
Watkinsville, GA 30677-7308

Phone

(706) 353-1958

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brant Sandifer, DMDNPI 1871014449

Title

Owner

Phone

(229) 402-9532

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dental Associates Doing business as

Locations

Practitioners 1

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

• Brant Sandifer, DMD

  • Dentist
  • Watkinsville, GA
  • NPI 1871014449
  NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1356924815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JENNINGS MILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777308",
            "telephone_number": "706-353-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JENNINGS MILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777308",
            "telephone_number": "706-353-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANT SANDIFER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-402-9532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emaly Elizabeth Bradford, PA-C
• Ashley Spake Bradley, NP
• Emily J. Bradley, D.M.D.
• Abigail Brannen, SLP
• Courtney Brannen, FNP
• Savannah Braymiller, BCBA, LBA, MS
• Casey Alexandra Brennan
• Lisa Brenner, RBT
• Brady Brent, RBT
• Rick A Brewer, M.D.

• Dental Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.