Healthcare Provider Details

I. General information

NPI: 1467388983
Provider Name (Legal Business Name): BRANDEN L DAILEY DDS A DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 STOCKDALE HWY STE 209
BAKERSFIELD CA
93311-3634
US

IV. Provider business mailing address

9900 STOCKDALE HWY STE 209
BAKERSFIELD CA
93311-3634
US

V. Phone/Fax

Practice location:
  • Phone: 661-617-3081
  • Fax: 661-617-3088
Mailing address:
  • Phone: 661-617-3081
  • Fax: 661-617-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MRS. TARA D NICHOLS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 661-617-3081