Individual
BRANTON SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 426-0270
Mailing address
6619 BROTHERHOOD WAY, FORT WAYNE, IN 46825-4226
(260) 739-1116
(260) 426-0270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014710A
IN
Other
Enumeration date
06/14/2024
Last updated
08/05/2025
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