MEDICARE: DR. BRANDON JEWELL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0006889	AL
2	122300000X	Dentist	11818	TN

General Provider Information

NPI Number	:	1215506613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON JEWELL DDS

Provider Business Mailing Address
First Line	:	4020 HUGHES XING STE 140
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-1468
Country	:	US
Telephone Number	:	615-332-2922
Fax Number	:

Provider Business Practice Location Address
First Line	:	4020 HUGHES XING STE 140
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-1468
Country	:	US
Telephone Number	:	615-332-2922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	08/10/2022

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Directions to “ DR. BRANDON JEWELL DDS” Practice Location

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