DR. BRANDON GAGE COLEMAN (NPI# 1548451917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548451917 |
| Entity Type | Individual |
| Full Name | DR. BRANDON GAGE COLEMAN |
| Credential | DDS |
| Practice Address |
Bldg 38717 38th Street Usa Dentac Ft Gordon GA 30905-5660 |
| Practice Telephone | 7067876927 |
| Practice Fax Number | 7067872082 |
| Mailing Telephone | 7067876927 |
| Mailing Fax Number | 7067872082 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 23249 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871722884 | Brandon Dale Coleman | Chiropractor | 114 N State Road 267, Avon, IN 46123-8475 | 2009-07-11 |
| 1881685782 | Brandon L Coleman | Family Medicine | 7100 U S Highway 98, Suite 140, Hattiesburg, MS 39402-8516 | 2005-10-31 |
| 1780078493 | Brandon W Coleman | Counselor | 1802 E Thomas Rd, Phoenix, AZ 85016-8134 | 2015-03-20 |
| 1710026463 | Brandon Coleman | Technician, Other | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2007-02-06 |
| Street Address |
BLDG 38717 38TH STREET USA DENTAC |
| City | FT GORDON |
| State | GA |
| Zip Code | 30905-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922457985 | Anna Richards | Registered Nurse | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-06-09 |
| 1447669023 | Andrew Clanney | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-07 |
| 1245648351 | Spencer Hill | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-01 |
| 1477987378 | Aujin Kim | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-08-27 |
| 1346672920 | Sara Elizabeth Mandell | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-08-06 |
| 1376975144 | Caitlin Marie Reddy | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-08-05 |
| 1275975658 | Karin Macayla Jamison | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2013-07-25 |
| 1396099891 | Kirstin Michelle Low | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-11-05 |
| 1265780175 | Albert Wayen Cheng | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-08-27 |
| 1881949766 | Jeremy Joseph Hanlon | Dentist | Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| 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 |
|---|---|---|---|---|
| 1649750142 | Han Eol Eom | Dentist | Bldg 38801 Academic Dr, Ste B&c, Suite B & C, Ft Gordon, GA 30905-5660 | 2018-08-15 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1891178299 | Dante Luis Amelotti | Dentist | Bldg 38801 Academic Dr, Suite B&c, Us Army Dental Health Activity, Ft Gordon, GA 30905-5660 | 2015-07-02 |
| 1649689266 | Jenny J Oh | Dentist | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-07 |
| 1609285261 | Colin Daniel Rice | Dentist | Bldg 38801 Academic Drive Suite A&b, Usa Dentac, Ft Gordon, GA 30905-5660 | 2014-08-07 |
| 1720496813 | Khine Christine Zin Htet | Dentist | Dental Health Activity, Tingay Dental Clinic, Ft Gordon, GA 30905-5660 | 2014-08-01 |
| 1184930653 | Adam Wiley Brock | Dentist | 38th St Bldg 38717, Us Dentac Ft Gordon, Ft Gordon, GA 30905-5660 | 2010-08-23 |
| 1922252956 | Suzanne Hollingsworth | Dentist | 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | 2008-11-04 |
| 1003036286 | Jeffrey Chai Chang | Dentist | 38th Street, Bldg 38717, Usa Dentac, Ft Gordon, GA 30905-5660 | 2007-04-27 |
| Find all providers in FT GORDON | ||||
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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.