# BRANDON R. WILCOX, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1699068411
- **Authorized official:** BRANDON RODNEY WILCOX D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (308) 762-6131

## Contact information

- **Practice address:** 916 W 10TH ST, ALLIANCE, NE 69301-2858
- **Practice address phone:** (308) 762-6131
- **Practice address fax:** (308) 762-6132
- **Mailing address:** 916 W 10TH ST, ALLIANCE, NE 69301-2858
- **Mailing address phone:** (308) 762-6131
- **Mailing address fax:** (308) 762-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6926 | NE | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 06/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100259327-00 | — | NE |