Brackett, Ryan L
Brackett, Ryan L is an individual health care provider with primary practice located at 1300 Crop Cir , Yukon OK 73099-4945. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brackett, Ryan L can be contacted via phone (405) 354-4545.Contact Information
Primary practice address
1300 Crop Cir
Yukon OK 73099-4945
Phone: (405) 354-4545
Fax: (405) 354-4542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 72 | Oklahoma |
Profile Details
| NPI number | 1982704417 |
|---|---|
| LBN Legal business name | Brackett, Ryan L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Aug 17th, 2009 - about 16 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 | 1982704417 | NPPES |
| Oklahoma | MEDICAID | 200018800A |
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