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

Dr. Brandon Sam Khaddor, DDS

Individual provider General Practice Dentistry · NPI 1417649286

Dr. Brandon Sam Khaddor, DDS is a General Practice Dentistry in New Haven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

59041 Gratiot Ave
New Haven, MI 48048-2057
Phone: (586) 749-3333
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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 · Licence 2901601643 (MI)

Record details

NPI number1417649286
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address2564 Lorenzo Dr, Sterling Heights, MI 48314-4515

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