Provider Demographics
NPI:1437342656
Name:DAILEY, BRANDEN LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:LEE
Last Name:DAILEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9900 STOCKDALE HWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3632
Mailing Address - Country:US
Mailing Address - Phone:661-617-3081
Mailing Address - Fax:661-617-3088
Practice Address - Street 1:9900 STOCKDALE HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3632
Practice Address - Country:US
Practice Address - Phone:661-617-3081
Practice Address - Fax:661-617-3088
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6668447-9922122300000X
CA622251223E0200X
LA60571223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist