Individual provider · NPI-1
Dr. Raymond Curtis Branch, D.M.D.
Dentist, General Practice · Lewisburg, TN
NPI number1992923338
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1992923338
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raymond Curtis Branch
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9402 | TN | Yes |
| 1223G0001X | Dentist, General Practice | 3280-03 | MS |
Practice location
302 W Church StLewisburg, TN 37091-2730
Phone 931-359-6154
Mailing address
302 W Church StLewisburg, TN 37091-2730
Phone 931-359-6154
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