Provider Demographics
NPI:1932295961
Name:DAVID J.BRAND DMD,PC
Entity Type:Organization
Organization Name:DAVID J.BRAND DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-260-8166
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty