Boling, Brant W
Boling, Brant W is an individual health care provider with primary practice located at 1429 Clear Lake Rd Ste 700 , Weatherford TX 76086-5805. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Boling, Brant W can be contacted via phone (817) 598-0835.Contact Information
Primary practice address
1429 Clear Lake Rd Ste 700
Weatherford TX 76086-5805
Phone: (817) 598-0835
Fax: (817) 598-0845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 19240 | Texas |
Profile Details
| NPI number | 1942272646 |
|---|---|
| LBN Legal business name | Boling, Brant W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jan 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942272646 | NPPES |
| Texas | MEDICAID | 196266404 |
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