Blanck, Nyle Bradley

Blanck, Nyle Bradley is an individual health care provider with primary practice located at 23 Church Hill Rd , Newtown CT 06470-1612. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Blanck, Nyle Bradley can be contacted via phone (203) 426-5900.

Contact Information

Primary practice address
23 Church Hill Rd Newtown CT 06470-1612
Phone: (203) 426-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12761 Connecticut

Profile Details

NPI number 1386170454
LBN Legal business name Blanck, Nyle Bradley
Credentials D.M.D., M.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2017
Last updated Jun 15th, 2021 - about 4 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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