Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON SAM KHADDOR, D.D.S.
Active Sole ProprietorDR. BRANDON SAM KHADDOR, D.D.S. is a General Dentistry healthcare provider located in NEW HAVEN, Michigan. NPI 1417649286 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEW HAVEN, MI
Registration Details
- NPI Number
- 1417649286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2023 (3.2434164259257 yrs)
- Last Updated
- Feb 25, 2025
- License
-
2901601643 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59041 GRATIOT AVENEW HAVEN, MI, 480482057Browse MI providers · Browse ZIP 48048
- Phone
- 5867493333
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.