Brandon Scott Roller, D.M.D.

NPI #1114949294 in Bristol, Tennessee

Provider Information

NPI Number: 1114949294
Entity Type: Individual
Name: Brandon Scott Roller, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 EDGEMONT AVE
City: Bristol
State: Tennessee
ZIP Code: 37620-2314
Phone: (423) 968-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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