Provider Demographics
NPI:1407942428
Name:BRAND, DAVID JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:BRAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4001 CARMICHAEL RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3613
Mailing Address - Country:US
Mailing Address - Phone:334-260-8166
Mailing Address - Fax:334-260-8321
Practice Address - Street 1:4001 CARMICHAEL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3613
Practice Address - Country:US
Practice Address - Phone:334-260-8166
Practice Address - Fax:334-260-8321
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics