Individual
BRAXTON STANLEY DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 65473-1618
(573) 596-1470
Mailing address
USA DENTAL HEALTH ACTIVITY BLDG 6837 NORMANDY RD, FORT BRAGG, NC 28310-0001
(910) 396-1572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12391445-9926
UT
1223G0001X
General Practice Dentistry
Primary
12391445-9921
UT
Other
Enumeration date
08/11/2021
Last updated
07/25/2025
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