Roger Brandon, DDS

NPI 1023135704 · on the registry since 2007

Practice

Address: 12991 Potranco Rd Ste 107
San Antonio, TX 78253
Phone: (210) 455-1110
Fax: (210) 455-1150
Organisation at this address: Agilitas Usa Inc
Five Star Family Dental, Pllc
Potranco Children'S Dental Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas