BRANNON DENTAL ASSOCIATES PLLC
NPI 1275631871
Dentist - General Practice in Spencer, WV

Active since September 20, 2006
350 HOSPITAL DR, SPENCER, WV 25276(304) 927-2775(304) 927-2777 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brannon Dental Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANNON DENTAL ASSOCIATES PLLC (NPI 1275631871) is a healthcare organization registered as a general practice in Spencer, West Virginia and active in the NPI registry since September 2006. The organization lists Randall S. Brannon, Partner, as its authorized official.

NPPES Registry Identity

NPI1275631871
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRANNON DENTAL ASSOCIATES PLLC
Location Address350 HOSPITAL DRSpencer, WV 25276-1049
Mailing Address350 Hospital DrSpencer, WV 25276-1049 · (304) 927-2775 · Fax (304) 927-2777
Fax(304) 927-2777
Organization SubpartNo
Authorized OfficialRandall S. BrannonPartner · (304) 927-2775
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 4, 2016
NPI 1275631871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WV · WV2812
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.
350 HOSPITAL DR, Spencer, WV 25276

Other Identifiers 1

Medicaid3810005897WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2151171

Brannon Dental Associates PLLC · Spencer, WV
Expired · Jul 12, 2026
CLIA Number51D2151171
Laboratory TypePractitioner Other
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateJuly 12, 2026
Laboratory DirectorDr. Eric R. Brannon
Laboratory Phone(304) 927-2775
Laboratory LocationBrannon Dental Associates PLLC350 Hospital Drive, Spencer, WV 25276
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
350 HOSPITAL DR
SPENCER, WV 25276
Dentist (General Practice)
350 HOSPITAL DR
SPENCER, WV 25276
Dentist (General Practice)
350 HOSPITAL DR
SPENCER, WV 25276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brannon Dental Associates PLLC's NPI number?

The NPI number for Brannon Dental Associates PLLC is 1275631871. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Brannon Dental Associates PLLC located?

Brannon Dental Associates PLLC is located at 350 Hospital Dr, Spencer, WV 25276. The listed phone number is (304) 927-2775.

What is Brannon Dental Associates PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brannon Dental Associates PLLC was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.