Provider Demographics
NPI:1215127881
Name:BRANHAM, ERIN HUDGINS (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:HUDGINS
Last Name:BRANHAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 ALPINE ST
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:WV
Mailing Address - Zip Code:26150-3015
Mailing Address - Country:US
Mailing Address - Phone:304-489-5475
Mailing Address - Fax:
Practice Address - Street 1:414 ALPINE ST
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:WV
Practice Address - Zip Code:26150-3015
Practice Address - Country:US
Practice Address - Phone:304-489-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV35391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry