IndividualActive
Brandon Zimmer
NPI 1306298104 · Dental Assistant · Fort Leonard Wood, MO
Provider details
- NPI number
- 1306298104
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
5047 Virginia Ave
Bldg 500
Fort Leonard Wood, MO 65473-9126
Phone: (573) 596-0408
Fax: (573) 596-0314
Mailing address
5047 Virginia Ave
Fort Leonard Wood, MO 65473-9126
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2016-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.