Brantley, David H.

Brantley, David H. is an individual health care provider with primary practice located at 495 Furys Ferry Rd , Martinez GA 30907-8221. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brantley, David H. can be contacted via phone (706) 863-7351.

Contact Information

Primary practice address
495 Furys Ferry Rd Martinez GA 30907-8221
Phone: (706) 863-7351
Fax: (706) 863-2585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN009622 Georgia

Profile Details

NPI number 1669493276
LBN Legal business name Brantley, David H.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1669493276 NPPES
Georgia MEDICAID 000279188B
Georgia Other 9180554
Georgia MEDICAID 000279188A

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