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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1972137479

Nicholas Branham, DMD is a Maxillofacial Surgery in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Greater St Louis Oral and Maxillofacial Surgery PC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1 Barnes Jewish Hospital Plz Ste 230
Saint Louis, MO 63110-1003
Phone: (314) 361-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1034 S Brentwood Blvd Ste 1010, Saint Louis, MO 63117-1210 — (314) 721-1010
  • 12818 Tesson Ferry Rd Ste 204, Saint Louis, MO 63128-2945 — (314) 842-0020

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2024009328 (MO)

Record details

NPI number1972137479
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address1034 S Brentwood Blvd Ste 1010, Saint Louis, MO 63117-1210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Greater St Louis Oral And Maxillofacial Surgery Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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