DR. JOHN BRANDEBURA JR. D.M.D.
NPI 1629038708
Dentist - Oral and Maxillofacial Surgery in Fort Smith, AR

Active since March 24, 2006
2407 S WALDRON RD, FORT SMITH, AR 72903(479) 484-1011(479) 484-1205 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Brandebura Jr. D.m.d. NPPES

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

DR. JOHN BRANDEBURA JR. D.M.D. (NPI 1629038708) is an individual oral and maxillofacial surgery provider in Fort Smith, Arkansas, licensed in Arkansas (2226) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1629038708
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN BRANDEBURA JR.Credential: D.M.D.
Location Address2407 S WALDRON RDFort Smith, AR 72903-3736
Mailing Address2407 S Waldron RdFort Smith, AR 72903-3736 · (479) 484-1011 · Fax (479) 484-1205
Fax(479) 484-1205
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateApril 28, 2009
NPI 1629038708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AR · 2226
Definition

An oral and maxillofacial surgery dentist specialized in 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.

2407 S WALDRON RD, Fort Smith, AR 72903

Other Identifiers 8

Medicare PIN58041AR
Other5C081AR · Medicare - Group Number
Other000861460United Concordia (grp)
Medicaid100026580AOK
Medicare UPINT20390AR
Medicaid127321679AR
Other1548288244Group Npi
Other000812852United Concordia (indvl)

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
2407 S WALDRON RD
FORT SMITH, AR 72903
Dentist (Oral and Maxillofacial Surgery)
2407 S WALDRON RD
FORT SMITH, AR 72903

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 John Brandebura's NPI number?

The NPI number for John Brandebura is 1629038708. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is John Brandebura located?

John Brandebura practices at 2407 S Waldron Rd, Fort Smith, AR 72903. The listed phone number is (479) 484-1011.

What is John Brandebura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John Brandebura was last updated on April 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.