Brady, Jason Wayne
Brady, Jason Wayne is an sole proprietor health care provider with primary practice located at 3967 E Leah Ct Apt 101, Gilbert AZ 85234-0019. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Brady, Jason Wayne can be contacted via phone (858) 752-4622.Contact Information
Primary practice address
3967 E Leah Ct Apt 101
Gilbert AZ 85234-0019
Phone: (858) 752-4622
Fax: (866) 329-8262
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D008375 | Arizona |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | D008375 | Arizona |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 60944 | California |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 30599 | Texas |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 3827-15 | Mississippi |
Profile Details
NPI number | 1841553120 |
---|---|
LBN Legal business name | Brady, Jason Wayne |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2012 |
Last updated | Sep 3rd, 2015 - about 10 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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