Bray, Dmd & Young, Dmd, Pc
LBN: Bray, Dmd & Young, Dmd, Pc
Bray, Dmd & Young, Dmd, Pc is an health care organization with primary practice located at 2 Lester Ct , Statesboro GA 30458-2118. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Bray, Dmd & Young, Dmd, Pc can be contacted via phone (912) 489-1386, or through Bray, Cecil B via phone (912) 489-1386.
Contact Information
Primary practice address
2 Lester Ct
Statesboro GA 30458-2118
Phone: (912) 489-1386
Fax: (912) 764-8533
Website:
Authorized official contact:
Name: Bray, Cecil B Doctor of Dental Medicine (DMD)
Phone: (912) 489-1386
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9793 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10099 | Georgia |
Profile Details
| NPI number | 1134235609 |
|---|---|
| LBN Legal business name | Bray, Dmd & Young, Dmd, Pc |
| DBA Doing business as | |
| Authorized official | Bray, Cecil B Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Nov 6th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134235609 | NPPES |
| Georgia | MEDICAID | 00328622B | |
| Georgia | MEDICAID | 00328314B |
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