MEDICARE: HARRISON BRANDES 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN28060	FL

General Provider Information

NPI Number	:	1851128276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRISON BRANDES DMD

Provider Business Mailing Address
First Line	:	685 ROYAL PALM BEACH BLVD STE 202
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7642
Country	:	US
Telephone Number	:	954-260-7142
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 ROYAL PALM BEACH BLVD STE 202
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7642
Country	:	US
Telephone Number	:	561-790-0319
Fax Number	:

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

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	01/07/2026

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