BRANDON WAYNE COUSINS DDS
NPI 1417448259
Dentist - General Practice in Ballwin, MO

Active since May 29, 2018
485 WILDWOOD PKWY STE 5, BALLWIN, MO 63011(636) 227-8400 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Wayne Cousins Dds NPPES

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

BRANDON WAYNE COUSINS DDS (NPI 1417448259) is an individual general practice provider in Ballwin, Missouri, licensed in Missouri (2018016943) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1417448259
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRANDON WAYNE COUSINSCredential: DDS
Location Address485 WILDWOOD PKWY STE 5Ballwin, MO 63011-2667
Mailing Address485 Wildwood Pkwy Ste 5Ballwin, MO 63011-2667 · (636) 227-8400
Sole ProprietorYes
Enumeration DateMay 29, 2018
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1417448259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2018016943
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.

485 WILDWOOD PKWY STE 5, Ballwin, MO 63011

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417448259, enumerated as an "individual" on May 29, 2018.

The provider is located at 485 WILDWOOD PKWY STE 5 BALLWIN, MO 63011 and the phone number is (636) 227-8400.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.