Breard, Brandon
Breard, Brandon is an individual health care provider with primary practice located at 45 W Colt Square Dr , Fayetteville AR 72703-2814. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Breard, Brandon can be contacted via phone (318) 547-9507.Contact Information
Primary practice address
45 W Colt Square Dr
Fayetteville AR 72703-2814
Phone: (318) 547-9507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | ETN793 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 4647 | Arkansas |
Profile Details
| NPI number | 1831709633 |
|---|---|
| LBN Legal business name | Breard, Brandon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2020 |
| Last updated | Aug 26th, 2023 - about last year |
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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