DR. KERRY REDDING BRANTLY D.D.S. NPI 1891800942

NPI Information

  • NPI: 1891800942
  • Provider Name: DR. KERRY REDDING BRANTLY, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 113 LIELMANIS AVE
    HURLBURT FIELD, FL
    ZIP 32544
  • Phone: (850) 881-2337

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NPI Details

DR. Kerry Redding Brantly, D.D.S. is a general practice dentist in Hurlburt Field, FL. 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. Kerry Redding Brantly, D.D.S. NPI is 1891800942. 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:

113 LIELMANIS AVE
HURLBURT FIELD, FL
ZIP 32544-613
Phone: (850) 881-2337
Fax: (850) 881-2323

The NPI 1891800942 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 8/20/2006 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 Practice2901019216MICHIGANYes

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: 11/21/2025

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