# BRANDT ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Brandt
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841532793
- **Authorized official:** DR. RYAN GREGORY BRANDT DDS.MS (ENDODONTIST/OWNER)
- **Authorized official phone:** (517) 795-2154

## Contact information

- **Practice address:** 1001 LAURENCE AVE, SUITE A, JACKSON, MI 49202-2979
- **Practice address phone:** (517) 795-2154
- **Practice address fax:** (517) 795-2635
- **Mailing address:** 1001 LAURENCE AVE, SUITE A, JACKSON, MI 49202-2979
- **Mailing address phone:** (517) 795-2154
- **Mailing address fax:** (517) 795-2635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2901019119 | MI | Yes |

## Other

- **Enumeration date:** 03/19/2013
- **Last updated:** 04/04/2013