Brandon Boggan in Pelham - Orthodontics And Dentofacial Orthopedics
Brandon Boggan - NPI 1750506465
Brandon Boggan is a Orthodontics And Dentofacial Orthopedics in Pelham, Alabama. Brandon Boggan practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brandon Boggan is 1750506465. The last update date is 2007-07-08.
Brandon Boggan's current location address is 2705 Pelham Parkway, Pelham, Alabama. You can contact this provider via phone number 2056644140 and fax number 2056643234. The mailing address for Brandon Boggan is 2705 Pelham Parkway, Pelham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Boggan |
|---|---|
| Address | 2705 Pelham Parkway, Pelham, Alabama |
| Phone Number | 2056644140 |
| Fax Number | 2056643234 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750506465 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2705 Pelham Parkway |
|---|---|
| City | Pelham |
| State | Alabama (AL) |
| Post Code | 35124 |
| Phone Number | 2056644140 |
| Fax Number | 2056643234 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4684 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Brandon Boggan by the Centers for Medicare & Medicaid Services?
The Brandon Boggan has been issued the NPI (National Provider Identifier) 1750506465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brandon Boggan's facilities are geographically located?
The facilities of Brandon Boggan are physically situated at the following location: 2705 Pelham Parkway, Pelham, AL, 35124.
What is the area of specialization for Brandon Boggan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brandon Boggan is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did Brandon Boggan receive its 1750506465 assignment from the Centers for Medicare & Medicaid Services?
The Brandon Boggan was assigned its 1750506465 on 2007-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brandon Boggan most recently updated or revised?
The details related to Brandon Boggan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.