DR. SIBERA TROY BRANNON DDS NPI 1477651594

NPI Information

  • NPI: 1477651594
  • Provider Name: DR. SIBERA TROY BRANNON, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12005 N TATUM BLVD
    STE. 105
    PHOENIX, AZ
    ZIP 85028
  • Phone: (602) 971-0026

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NPI Details

DR. Sibera Troy Brannon, DDS is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Sibera Troy Brannon, DDS NPI is 1477651594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12005 N TATUM BLVD
STE. 105
PHOENIX, AZ
ZIP 85028-650
Phone: (602) 971-0026
Fax: (602) 971-2069

The NPI 1477651594 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901016468MICHIGANNo
21223G0001XDentistGeneral PracticeD6856ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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