Brandon Sam Khaddor, D.D.S.
General Practice Dentistry · New Haven, MI
Practice location
59041 Gratiot AveNew Haven, MI 48048-2057
- Phone
- (586) 749-3333
NPI record
- NPI
- 1417649286
- Entity type
- Individual (Type 1)
- Enumeration date
- May 22, 2023
- Last updated
- February 25, 2025
- Certified
- February 25, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
2901601643 | MI |
Mailing address
2564 Lorenzo DrSterling Heights, MI 48314-4515
- Phone
- (586) 804-8118
About Dr. Khaddor
Brandon Sam Khaddor, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 59041 Gratiot Ave, New Haven, MI 48048-2057. The NPI number 1417649286 was assigned on May 22, 2023 and the record was last updated on February 25, 2025.
Dr. Khaddor lists a license in the registry: #2901601643 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brandon Sam Khaddor, D.D.S.?
The NPI number is 1417649286.
What is the phone number of Dr. Khaddor?
The phone number listed for the practice location is (586) 749-3333.
Where is Dr. Khaddor located?
59041 Gratiot Ave, New Haven, MI 48048-2057.
What is the taxonomy code for Dr. Khaddor?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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