Sibera Troy Brannon DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016468 Issued in MI

Legal business name

SIBERA TROY BRANNON DDS

Doing business as

Dental Care Institute

Practice address

1010 Livernois
Ferndale, MI 48220-3347

Phone

(248) 545-1586

Fax

(248) 545-1582

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sibera Troy Brannon, DDS

Title

Owner

Phone

(248) 545-1586

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Care Institute Doing business as

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649318130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIVERNOIS",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203347",
            "telephone_number": "248-545-1586",
            "fax_number": "248-545-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LIVERNOIS",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203347",
            "telephone_number": "248-545-1586",
            "fax_number": "248-545-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBERA TROY BRANNON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "SIBERA",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-545-1586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3240889",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Ferndale, MI
• Providers in Ferndale, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.