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Organization

BRANSON PEDIATRIC DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CREED CARDON DDS (OWNER/DENTIST)
(918) 998-0996
Entity
Organization

Contact information

Practice address
714 STATE HIGHWAY 248 STE 515, BRANSON, MO 65616-3804
(417) 275-6333
(417) 883-5898
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/27/2026
Last updated
04/21/2026
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