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DR. BRANDON SAM KHADDOR D.D.S.
NPI 1417649286
Dentist - General Practice in New Haven, MI

Active since May 22, 2023
59041 GRATIOT AVE, NEW HAVEN, MI 48048(586) 749-3333 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, May 22, 2023 (2 updates tracked since 2023).

About Dr. Brandon Sam Khaddor D.d.s. NPPES

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

DR. BRANDON SAM KHADDOR D.D.S. (NPI 1417649286) is an individual general practice provider in New Haven, Michigan, licensed in Michigan (2901601643) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1417649286
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRANDON SAM KHADDORCredential: D.D.S.
Location Address59041 GRATIOT AVENew Haven, MI 48048-2057
Mailing Address2564 Lorenzo DrSterling Heights, MI 48314-4515 · (586) 804-8118
Phone(586) 749-3333
Sole ProprietorYes
Enumeration DateMay 22, 2023
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1417649286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901601643
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.
59041 GRATIOT AVE, New Haven, MI 48048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

CROSS ANTHONY OROW DDS
Dentist
59041 GRATIOT AVE
NEW HAVEN, MI 48048
Macomb County (586) 749-3333
YOO CHUL JUNG DDS PLLC
Dentist (General Practice)
59041 GRATIOT AVE
NEW HAVEN, MI 48048
Macomb County (586) 315-4424
AVIAN FRANCIS
Dentist
59041 GRATIOT AVE
NEW HAVEN, MI 48048
Macomb County (586) 749-3333
NEW HAVEN DENTAL ASSOCIATES PLLC
Dentist (General Practice)
59041 GRATIOT AVE
NEW HAVEN, MI 48048
Macomb County (586) 749-3333
NEW HAVEN DENTAL PLLC
Dentist (General Practice)
59041 GRATIOT AVE
NEW HAVEN, MI 48048
Macomb County (586) 749-3333

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 Brandon Khaddor's NPI number?

The NPI number for Brandon Khaddor is 1417649286. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Brandon Khaddor located?

Brandon Khaddor practices at 59041 Gratiot Ave, New Haven, MI 48048. The listed phone number is (586) 749-3333.

What is Brandon Khaddor's specialty?

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

What insurance does Brandon Khaddor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 other insurers list Brandon Khaddor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Khaddor was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.