Angel, Bryan Keith

Angel, Bryan Keith is an sole proprietor health care provider with primary practice located at 300 S Rodney Parham Rd Suite 3, Little Rock AR 72205-4747. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Angel, Bryan Keith can be contacted via phone (501) 224-4799.

Contact Information

Primary practice address
300 S Rodney Parham Rd Suite 3 Little Rock AR 72205-4747
Phone: (501) 224-4799
Fax: (501) 224-9278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3321 Arkansas

Profile Details

NPI number 1003826314
LBN Legal business name Angel, Bryan Keith
Credentials DDS, PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003826314 NPPES
Arkansas MEDICAID 145950608

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