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

Brandon Joseph Stafford

Individual provider General Practice Dentistry · NPI 1417605742

Brandon Joseph Stafford is a General Practice Dentistry in Crawfordsville, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and Oklahoma.

Licensed in
IN, OK
In the registry since
2022
Specialties on file
3

Practice location Address checks out

114 Walter Remley Dr
Crawfordsville, IN 47933-3350
Phone: (765) 267-8484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Nw Sheridan Rd, Lawton, OK 73505-6501 — (580) 357-7878

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12013947A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7627 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417605742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESFebruary 21, 2023
Certification dateJune 22, 2022

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