Brantly, Philip K

Brantly, Philip K is an sole proprietor health care provider with primary practice located at 1100 Parkway Dr Suite A, Goldsboro NC 27534-3477. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brantly, Philip K can be contacted via phone (919) 751-0711.

Contact Information

Primary practice address
1100 Parkway Dr Suite A Goldsboro NC 27534-3477
Fax: (919) 751-1248
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4613 North Carolina

Profile Details

NPI number 1114112703
LBN Legal business name Brantly, Philip K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 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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