# BRANDON JOHNSON DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306457791
- **Authorized official:** DR. BRANDON JOHNSON DMD (DENTIST)
- **Authorized official phone:** (703) 459-0835

## Contact information

- **Practice address:** 15534 RANCH ROAD 620 N STE 300, AUSTIN, TX 78717-5277
- **Practice address phone:** (512) 580-9200
- **Practice address fax:** (512) 580-9201
- **Mailing address:** 15534 RANCH ROAD 620 N STE 300, AUSTIN, TX 78717-5277
- **Mailing address phone:** (512) 580-9200
- **Mailing address fax:** (512) 580-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2020
- **Last updated:** 08/11/2020