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Dr. John Brandebura JR., DMD
Oral and Maxillofacial Surgery (Dentist) in Fort Smith, Arkansas
NPI 1629038708

John Brandebura JR. is a Oral and Maxillofacial Surgery (Dentist) based in Fort Smith, AR and is specialized in Oral and Maxillofacial Surgery. John Brandebura JR. practices in Fort Smith, AR and has the professional credentials of DMD. The NPI Number for John Brandebura JR. is 1629038708 and holds a License No. 2226 (Arkansas).

The current practice location address for John Brandebura JR. is 2407 S Waldron Rd, Fort Smith, AR and can be reached out via phone at 479-484-1011 and via fax at 479-484-1205.

Location: 2407 S Waldron Rd, Fort Smith, AR, 72903-3736
person
Provider Profile Details
NPI Number
1629038708
Provider Name
John Brandebura JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2407 S Waldron Rd, Fort Smith, AR, 72903-3736
Phone Number
479-484-1011
Fax Number
479-484-1205
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127321679 05 AR
5C081 01 AR MEDICARE - GROUP NUMBER
100026580A 05 OK
000812852 01 UNITED CONCORDIA (INDVL)
1548288244 01 GROUP NPI
000861460 01 UNITED CONCORDIA (GRP)
institution
Provider Business Practice Location Address Details
Address
2407 S Waldron Rd
City
State
Zip
72903-3736
Phone Number
479-484-1011
Fax Number
479-484-1205
person
Provider Business Mailing Address Details
Address
2407 S Waldron Rd
City
State
Zip
72903-3736
Phone Number
479-484-1011
Fax Number
479-484-1205
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2226 (Arkansas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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