Brackett, Martha Goel

Brackett, Martha Goel is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912-1001. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Brackett, Martha Goel can be contacted via phone (706) 721-2371.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Augusta GA 30912-1001
Fax: (706) 721-6778
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6374 Nebraska
Dental Providers / Dentist 122300000X DNF000315 Georgia

Profile Details

NPI number 1508819491
LBN Legal business name Brackett, Martha Goel
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 13th, 2023 - about 2 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 1508819491 NPPES
Georgia MEDICAID 282070901A

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