Kerry Redding Brantly, D.D.S.

General Practice Dentistry · Hurlburt Field, FL

Individual Active NPI

NPI number 1891800942

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone
(850) 881-2337
Fax
(850) 881-2323

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NPI record

NPI
1891800942
Entity type
Individual (Type 1)
Enumeration date
August 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901019216 MI

About Dr. Brantly

Kerry Redding Brantly, 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 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613. The NPI number 1891800942 was assigned on August 20, 2006 and the record was last updated on July 8, 2007.

Dr. Brantly lists a license in the registry: #2901019216 (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 Kerry Redding Brantly, D.D.S.?

The NPI number is 1891800942.

What is the phone number of Dr. Brantly?

The phone number listed for the practice location is (850) 881-2337.

Where is Dr. Brantly located?

113 Lielmanis Ave, Hurlburt Field, FL 32544-5613.

What is the taxonomy code for Dr. Brantly?

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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