Joshua Stephen Brandner, DDS, MD
Dentist, Oral and Maxillofacial Surgery in Covington, LA. Individual provider (NPI-1).
NPI number1154687770
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1154687770
- Entity type
- Individual (NPI-1)
- Name
- Joshua Stephen Brandner
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2012
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 6265 | LA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery | DE60732399 | WA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
363 Lakeview CtCovington, LA 70433-7515
Phone 985-687-1616
Mailing address
Po Box 248977Oklahoma City, OK 73124-8977
Phone 877-667-7669 · Fax 888-920-7457
Other practice locations
305 Nw Railroad Ave
Hammond, LA 70401
Hammond, LA 70401
Phone 985-277-1030 · Fax 985-900-2189
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