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

Dental Assoc of South Brandon

Organization Dentist · NPI 1588088223

Dental Assoc of South Brandon is a Dentist in Brandon, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

611 E Bloomingdale Ave Ste C
Brandon, FL 33511-8127
Phone: (813) 684-6279
Fax: (813) 684-2189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1588088223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Barron — Insurance Supervisor · (813) 684-6279
NPI enumeratedFebruary 18, 2014
Last updated in NPPESFebruary 18, 2014
Mailing address611 E Bloomingdale Ave, Suite C, Brandon, FL 33511-8127

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