Brandon Oral Surgery and Specialty Center PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRANDON ORAL SURGERY AND SPECIALTY CENTER PLLC

Practice address

123 N Oakwood Ave Unit C
Brandon, FL 33510-4629

Phone

(813) 708-7430

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

SVP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1396597860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N OAKWOOD AVE UNIT C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-708-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N OAKWOOD AVE UNIT C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-708-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON ORAL SURGERY AND SPECIALTY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SVP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandon Medical Center
• Brandon Medical Wellness Center (Physical Medicine & Rehabilitation)
• Brandon Mental Health
• Brandon Modern Dentistry, PA (Brandon Modern Dentistry)
• Brandon Nephrology PA
• Brandon Pain Medicine, Inc.
• Brandon Plaza Facility LLC (Brandon Plaza Care Center)
• Brandon Premier Healthcare PA
• Brandon Psychiatric Group LLC
• Brandon Psychiatry and Counseling

• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.