MEDICARE: DR. BRANDON TYLER CARTRAN DMD

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	31713	FL

General Provider Information

NPI Number	:	1437082229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON TYLER CARTRAN DMD

Provider Business Mailing Address
First Line	:	5016 LAKE OVERLOOK AVE
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-5711
Country	:	US
Telephone Number	:	941-914-5384
Fax Number	:

Provider Business Practice Location Address
First Line	:	6588 UNIVERSITY PKWY STE 104
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-9296
Country	:	US
Telephone Number	:	941-256-3714
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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