Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942377569 Individual Practitioner Male Practitioner

Dr. Mark D Brannon , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Mark Brannon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 11110 N TATUM BLVD STE H102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11110 N Tatum Blvd Ste H102

Phoenix, AZ 850281607

Telephone 6023547607
Fax 6023547609
Associated Practice Facility / Clinic
🏢 Paradise Valley Smiles Llc Facility NPI 1982312591

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D02856

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 09, 2020

Registered at 11110 N TATUM BLVD STE H102, PHOENIX, AZ 850281607 (Tel: 6023547607)

📍
Updated Business Mailing Address April 09, 2020

Registered at 11110 N TATUM BLVD STE H102, PHOENIX, AZ 850281607 (Tel: 6023547607)

👤
Provider Name / Credentials Updated April 09, 2020

Recorded as MARK BRANNON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2020

Dentist (License #D02856 in AZ)

NPI Profile Active September 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2008

Registered at 21809 N SCOTTSDALE RD, C-105, SCOTTSDALE, AZ 852557440 (Tel: 4805630000)

📍
Updated Business Mailing Address September 17, 2008

Registered at 21809 N SCOTTSDALE RD, C-105, SCOTTSDALE, AZ 852557440 (Tel: 4805630000)

👤
Provider Name / Credentials Updated September 17, 2008

Recorded as MARK BRANNON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2008

Dentist (License #2856 in AZ)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942377569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: April 09, 2020
Sole Proprietor: Yes

Mailing Address

11110 N Tatum Blvd Ste H102

Phoenix, AZ 850281607

Phone: 6023547607

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.