Bracken, Brian Timothy

Bracken, Brian Timothy is an sole proprietor health care provider with primary practice located at 1121 Broad St , Sumter SC 29150-1902. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bracken, Brian Timothy can be contacted via phone (201) 919-1950.

Contact Information

Primary practice address
1121 Broad St Sumter SC 29150-1902
Phone: (201) 919-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DGD8524 South Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401418752 Virginia

Profile Details

NPI number 1063764025
LBN Legal business name Bracken, Brian Timothy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2012
Last updated Feb 2nd, 2024 - about last year

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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