Avra, Bret A

Avra, Bret A is an sole proprietor health care provider with primary practice located at 2605 Kentucky Ave Ste #302, Paducah KY 42003-3800. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Avra, Bret A can be contacted via phone (270) 443-1717.

Contact Information

Primary practice address
2605 Kentucky Ave Ste #302 Paducah KY 42003-3800
Phone: (270) 443-1717
Fax: (270) 443-0517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6283 Kentucky

Profile Details

NPI number 1144230079
LBN Legal business name Avra, Bret A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Oct 21st, 2015 - about 10 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 1144230079 NPPES
Kentucky Other 37-1469385 TAX ID
Kentucky Other 560132 TAX ID

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