Braxton, Mark T
Braxton, Mark T is an individual health care provider with primary practice located at 5075 Carpenter Creek Dr , Pensacola FL 32503-2521. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Braxton, Mark T can be contacted via phone (850) 477-8482.Contact Information
Primary practice address
5075 Carpenter Creek Dr
Pensacola FL 32503-2521
Phone: (850) 477-8482
Fax: (850) 477-7604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN09406 | Florida |
Profile Details
| NPI number | 1780725317 |
|---|---|
| LBN Legal business name | Braxton, Mark T |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 13th, 2016 - about 8 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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