Individual
BRANDON L. GEDDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-8500
Mailing address
1313 STAMFORD DR, VIRGINIA BEACH, VA 23455-9242
(317) 219-9776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413538
VA
122300000X
Dentist
12011672A
IN
1223G0001X
General Practice Dentistry
Primary
0401413538
VA
Other
Enumeration date
09/09/2011
Last updated
04/12/2022
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