Mark D Brannon DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK D BRANNON DDS LLC

Doing business as

Brannon Dental Group

Practice address

21809 N Scottsdale Rd
C 105
Scottsdale, AZ 85255-7440

Phone

(480) 563-0000

Fax

(480) 563-4445

NPI assigned

Jun 21, 2012

Last updated

Jun 21, 2012By 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. Mark Brannon, DDS

Title

Owner

Phone

(480) 563-0000

Specialties & licenses 1

Addresses

Other names 1

• Brannon Dental Group Doing business as

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1679836860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD",
            "address_2": "C 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000",
            "fax_number": "480-563-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD",
            "address_2": "C 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000",
            "fax_number": "480-563-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D BRANNON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-563-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brannon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent A. Marino, M.D.
• Mariposa Dental Group, PLC (Smile Arizona Dentistry)
• Mariposa Point Home Health, LLC
• Rosa Idalia Mariscal
• Mark a. Stieg DDS, Ms,PA
• Mark D. Pogue, M.D. D.D.S., P.C.
• Market Street Dental
• Clarissa Markham, RDN
• Stephanie S Markoff, FNP
• Anna Victoria Marks

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.