Brantley, Sidney Wayne
Brantley, Sidney Wayne is an sole proprietor health care provider with primary practice located at 166 N Friendship Rd , Paducah KY 42001-5602. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brantley, Sidney Wayne can be contacted via phone (270) 554-0123.Contact Information
Primary practice address
166 N Friendship Rd
Paducah KY 42001-5602
Phone: (270) 554-0123
Fax: (270) 554-0336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5162 | Kentucky |
Profile Details
| NPI number | 1760505226 |
|---|---|
| LBN Legal business name | Brantley, Sidney Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760505226 | NPPES |
| Kentucky | Other | 5162 | STATE LICENSE # |
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