Brandon Alan Maurath, DMD

Individual provider Active NPI General Practice Dentistry · Oakley, KS

NPI 1962070169 · NPPES record last updated Jun 14, 2021

Key facts

NPI
1962070169
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
61848 (KS)
Practice address
418 Hudson Ave
Oakley, KS 67748-1730
Phone
(785) 672-3101
NPI assigned
Jun 14, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
61848KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oakley Family Dentistry, LLC General Practice Current
since Jul 25, 2021
Accepting new patients
Richard P Loftus DDS PA General Practice Past
since Jun 22, 2021
Accepting new patients

Locations

418 Hudson Ave
Oakley, KS 67748
Phone (785) 672-3101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61848 KS Yes

Addresses

Primary practice location

418 Hudson Ave
Oakley, KS 67748-1730

Mailing address

815 Ann Ave Apt 3C
Saint Louis, MO 63104-4103
Phone (785) 953-0180

Other providers in Oakley, KS

All providers in Oakley, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.