Braddock, Dianne Elliott

Braddock, Dianne Elliott is an individual health care provider with primary practice located at 318 Turnersburg Hwy , Statesville NC 28625-2798. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Braddock, Dianne Elliott can be contacted via phone (704) 878-5300.

Contact Information

Primary practice address
318 Turnersburg Hwy Statesville NC 28625-2798
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 126800000X North Carolina

Profile Details

NPI number 1154583813
LBN Legal business name Braddock, Dianne Elliott
Credentials DA II
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - about 17 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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