Bartruff, J. Brent

Bartruff, J. Brent is an individual health care provider with primary practice located at 930 Mar Walt Dr # B , Fort Walton Beach FL 32547-6706. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bartruff, J. Brent can be contacted via phone (850) 862-6666.

Contact Information

Primary practice address
930 Mar Walt Dr # B Fort Walton Beach FL 32547-6706
Phone: (850) 862-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN 14824 Florida

Profile Details

NPI number 1558450585
LBN Legal business name Bartruff, J. Brent
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1558450585 NPPES
Florida Other DN 14824 DENTAL LICENCE
Florida Other 43800470 DENTAL LICENCE

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