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Brandon Stafford
NPI 1417605742 · on the registry since 2022 · sole proprietor
Practice
- Address
- 114 Walter Remley Dr
Crawfordsville, IN 47933 - Phone
- (765) 267-8484
- Organisation at this address
- Bjs Dds, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 309 Nw Sheridan Rd, Lawton, OK
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
390200000X - Licence states on file
- OK, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-21
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 Indiana