Provider Demographics
NPI:1073878070
Name:BOIKE, BRANDON DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:DAVID
Last Name:BOIKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4983 SHAKER HEIGHTS CT APT 202
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-8424
Mailing Address - Country:US
Mailing Address - Phone:810-845-6758
Mailing Address - Fax:
Practice Address - Street 1:7007 LELY CULTURAL PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8976
Practice Address - Country:US
Practice Address - Phone:239-775-3052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010206301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry