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Brandon Joseph Stafford
General Practice Dentistry in Crawfordsville, Indiana
NPI 1417605742

Brandon Joseph Stafford is a General Practice Dentistry based in Crawfordsville, IN and is specialized in General Practice. Brandon Joseph Stafford practices in Crawfordsville, IN. The NPI Number for Brandon Joseph Stafford is 1417605742 and holds a License No. 7627 (Indiana).

The current practice location address for Brandon Joseph Stafford is 114 Walter Remley Dr, Crawfordsville, IN and can be reached out via phone at 765-267-8484.

Location: 114 Walter Remley Dr, Crawfordsville, IN, 47933-3350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417605742
Provider Name
Brandon Joseph Stafford
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 Walter Remley Dr, Crawfordsville, IN, 47933-3350
Phone Number
765-267-8484
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Walter Remley Dr
City
Crawfordsville
State
Indiana
Zip
47933-3350
Phone Number
765-267-8484
Fax Number
person
Provider Business Mailing Address Details
Address
114 Walter Remley Dr
City
Crawfordsville
State
Indiana
Zip
47933-3350
Phone Number
765-267-8484
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7627 (Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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