Brandon, Michael Stephen
Brandon, Michael Stephen is an sole proprietor health care provider with primary practice located at 3301 Berrywood Dr , Columbia MO 65201-6517. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Brandon, Michael Stephen can be contacted via phone (573) 884-6253.Contact Information
Primary practice address
3301 Berrywood Dr
Columbia MO 65201-6517
Phone: (573) 884-6253
Fax: (573) 875-9150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 4281 | South Carolina |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2017017086 | Missouri |
Profile Details
NPI number | 1285759720 |
---|---|
LBN Legal business name | Brandon, Michael Stephen |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2007 |
Last updated | May 9th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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