Brandon Burleigh, DMD
Individual provider Active NPI General Practice Dentistry · Perry, GA
NPI 1831612787 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1831612787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN015470 (GA)
- Practice address
- 1113 Morningside Dr
Perry, GA 31069-2905 - Phone
- (478) 224-5656
- Fax
- (478) 224-7676
- NPI assigned
- Jul 24, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015470 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN015470 | GA | Yes |
Addresses
Primary practice location
1113 Morningside Dr
Perry, GA 31069-2905
Mailing address
1113 Morningside Dr
Perry, GA 31069-2905
Phone (478) 224-5656
Other providers in Perry, GA
- Stacy-Lee Meleisia Buchanan-Bromley
- Hayden Burch
- Nakesha S Smith Burch
- Stephanie Christin Burch
- Maebell Burchette
- Courtney A Cadwell
- Eboni Sherell Calhoun
- Juanita Campbell
- Kayde Campbell
- Capstone Medical Clinic LLC
All providers in Perry, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.