Brazeal, Jerod Wilson

Brazeal, Jerod Wilson is an sole proprietor health care provider with primary practice located at 696 N Fielder Rd Ste 102 , Arlington TX 76012-3861. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Brazeal, Jerod Wilson can be contacted via phone (817) 261-9772.

Contact Information

Primary practice address
696 N Fielder Rd Ste 102 Arlington TX 76012-3861
Phone: (817) 261-9772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27094 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 27094 Texas

Profile Details

NPI number 1144516311
LBN Legal business name Brazeal, Jerod Wilson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2011
Last updated Mar 17th, 2018 - about 6 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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