Braid, Stanton Marc

Braid, Stanton Marc is an individual health care provider with primary practice located at 1521 Locust St Suite 600, Phila PA 19102-3727. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Braid, Stanton Marc can be contacted via phone (215) 735-6241.

Contact Information

Primary practice address
1521 Locust St Suite 600 Phila PA 19102-3727
Phone: (215) 735-6241
Fax: (215) 735-6242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS018002L Pennsylvania

Profile Details

NPI number 1205824398
LBN Legal business name Braid, Stanton Marc
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 13th, 2016 - about 8 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 1205824398 NPPES
Pennsylvania Other 0060873000 PA BC-BS- KHPE-PERSONALCH
Pennsylvania MEDICAID 0005238080001 PA BC-BS- KHPE-PERSONALCH

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