William Branton, DDS
Individual provider Active NPI Dentist · Temperance, MI
NPI 1962078899 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1962078899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5307010655 (MI)
- Practice address
- 8765 Lewis Ave
Temperance, MI 48182-9583 - Phone
- (734) 847-3802
- Fax
- (734) 850-0520
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250620002527 | MI | Practitioner - Dentist | 5092227579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5307010655 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Family Medical Center of Michigan | Past | Accepting new patients |
Locations
1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800
130 Medical Center Dr
Carleton, MI 48117
901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
8765 Lewis Ave
Temperance, MI 48182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5307010655 | MI | Yes |
Addresses
Primary practice location
8765 Lewis Ave
Temperance, MI 48182-9583
Mailing address
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Other providers in Temperance, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.