Brady, Tiffany A.

Brady, Tiffany A. is an individual health care provider with primary practice located at 100 Nicolls Rd Rockland Hall, Room 114, Stony Brook NY 11794-8701. She recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is her primary health care specialty. Brady, Tiffany A. can be contacted via phone (631) 632-3181.

Contact Information

Primary practice address
100 Nicolls Rd Rockland Hall, Room 114 Stony Brook NY 11794-8701
Phone: (631) 632-3181
Fax: (631) 632-8717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN21459 Florida
Dental Providers / General Practice 1223G0001X DN21459 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407292824
LBN Legal business name Brady, Tiffany A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2013
Last updated Dec 3rd, 2015 - about 9 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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