Provider Demographics
NPI:1235575986
Name:DRS. BRANOFF AND KRESS P.A.
Entity Type:Organization
Organization Name:DRS. BRANOFF AND KRESS P.A.
Other - Org Name:DRS. JAMES GORDON AND EDWARD SILVERMAN
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-486-0550
Mailing Address - Street 1:3635 OLD COURT RD
Mailing Address - Street 2:#505
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3915
Mailing Address - Country:US
Mailing Address - Phone:410-486-0550
Mailing Address - Fax:410-486-1265
Practice Address - Street 1:3635 OLD COURT RD
Practice Address - Street 2:#505
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3915
Practice Address - Country:US
Practice Address - Phone:410-486-0550
Practice Address - Fax:410-486-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty