Dental Assoc of South Brandon
NPI 1588088223ActiveOrganization· Dentist· Brandon, FL
Dentist in Brandon, Florida, registered in NPPES in February 2014. The authorized official on file is Crystal B. Barron, Insurance Supervisor.
Overview
| NPI | 1588088223 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2014 |
| Last updated in NPPES | Feb 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Brandon
- 1619001484
- 1154751451
- 1841368974
- 1922419597
- 1396597860
- 1013278423
- 1538672787
- 1689240988
- 1477944742
- 1508140138
- 1609242452
- 1760881585