IndividualActive
Brandon Boggan
NPI 1750506465 · Orthodontics and Dentofacial Orthopedics Dentistry · Pelham, AL
Provider details
- NPI number
- 1750506465
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4684 (AL)
Specialties & taxonomies
Dental Providers
Practice location
2705 Pelham Parkway
Suite 200
Pelham, AL 35124
Phone: (205) 664-4140
Fax: (205) 664-3234
Approximate (ZIP-level) locationGet directions
Mailing address
2705 Pelham Parkway
Pelham, AL 35124
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.