KHALEILA BRANNON (NPI# 1467991133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467991133 |
| Entity Type | Individual |
| Full Name | KHALEILA BRANNON |
| Credential | DDS |
| Practice Address |
1500 Parklawn Dr Unit 814 Charleston SC 29414-8137 |
| Practice Telephone | 4101232345 |
| Mailing Telephone | 4431232345 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15994 | MD | Dental Providers |
| Street Address |
1500 PARKLAWN DR UNIT 814 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-8137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1649766213 | Michael Romani | Dentist | 92 Beaufain St Apt 5, Charleston, SC 29401-1986 | 2018-07-07 |
| 1174059836 | Ammons Dental By Design- James Island | Dentist | 1739 Maybank Hwy Ste B, Charleston, SC 29412-2103 | 2017-05-02 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1366995839 | Jan Meghan Baraczek | Dentist | 700 Rutledge Ave # A, Charleston, SC 29403-4145 | 2016-08-01 |
| 1083068811 | Andrew Zegeer | Dentist | 928 Chappell Rd, Charleston, WV 25304-2708 | 2016-04-18 |
| 1164803789 | Ana Gonzalez | Dentist | 670 Harbor Creek Pl, Charleston, SC 29412-3203 | 2015-06-10 |
| 1316326101 | Caleb Poston | Dentist | 2090 Charlie Hall Blvd Ste 100, Charleston, SC 29414-8200 | 2015-05-26 |
| 1184043226 | Gabriel Ross | Dentist | 29 Bee St Fl 4, Msc 507, Charleston, SC 29425-0001 | 2014-04-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.