Brantly, Chad
Brantly, Chad is an individual health care provider with primary practice located at 2149 Office Park Dr , San Angelo TX 76904-6803. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brantly, Chad can be contacted via phone (325) 949-9668.Contact Information
Primary practice address
2149 Office Park Dr
San Angelo TX 76904-6803
Phone: (325) 949-9668
Fax: (325) 949-0422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 27156 | Texas |
Profile Details
| NPI number | 1659651081 |
|---|---|
| LBN Legal business name | Brantly, Chad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2011 |
| Last updated | Aug 16th, 2011 - about 13 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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