Branstrator, Robert Dallas

Branstrator, Robert Dallas is an individual health care provider with primary practice located at 3253 N Windsong Dr , Prescott Valley AZ 86314-1222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Branstrator, Robert Dallas can be contacted via phone (928) 775-7433.

Contact Information

Primary practice address
3253 N Windsong Dr Prescott Valley AZ 86314-1222
Phone: (928) 775-7433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4416 Arizona

Profile Details

NPI number 1629252861
LBN Legal business name Branstrator, Robert Dallas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629252861 NPPES
Arizona MEDICAID 145632

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