Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1831744655

Brandon Modern Dentistry, PA is a General Practice Dentistry in Brandon, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

971 E Bloomingdale Ave
Brandon, FL 33511
Phone: (813) 435-3867
Fax: (813) 465-7538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1831744655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Pham — Owner · (813) 435-3867
Other names Brandon Modern Dentistry; Brandon Modern Dentistry
NPI enumeratedAugust 8, 2019
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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