BRANDON MODERN DENTISTRY
NPI 1831744655
Dentist - General Practice in Brandon, FL

Q: What is Brandon Modern Dentistry, PA's NPI number?

The NPI number for Brandon Modern Dentistry, PA is 1831744655. It was assigned to this organization in the NPPES registry on August 8, 2019. The provider is doing business as Brandon Modern Dentistry.

Q: What is Brandon Modern Dentistry, PA's specialty?

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

Active since August 08, 2019

971 E. BLOOMINGDALE AVENUE, BRANDON, FL 33511(813) 435-3867(813) 465-7538 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Aug 8, 2019 (2 updates tracked since 2019).

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About Brandon Modern Dentistry NPPES

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

BRANDON MODERN DENTISTRY (NPI 1831744655) is a healthcare organization registered as a general practice in Brandon, Florida and active in the NPI registry since August 2019. The organization lists Minh B Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1831744655

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBRANDON MODERN DENTISTRY, PA

Location Address971 E. BLOOMINGDALE AVENUEBrandon, FL 33511

Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892

Phone(813) 435-3867

Fax(813) 465-7538

Organization SubpartNo

Authorized OfficialMinh B PhamOwner · (813) 435-3867

Enumeration DateAugust 8, 2019

Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1831744655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

971 E. BLOOMINGDALE AVENUE, Brandon, FL 33511

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Other Names 1

Doing Business AsBrandon Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Modern Dentistry, PA's NPI number?

The NPI number for Brandon Modern Dentistry, PA is 1831744655. It was assigned to this organization in the NPPES registry on August 8, 2019. The provider is doing business as Brandon Modern Dentistry.

Where is Brandon Modern Dentistry, PA located?

Brandon Modern Dentistry, PA is located at 971 E. Bloomingdale Avenue, Brandon, FL 33511. The listed phone number is (813) 435-3867.

What is Brandon Modern Dentistry, PA'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 Brandon Modern Dentistry, PA was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.