Brecheisen, Scott Kevin

Brecheisen, Scott Kevin is an sole proprietor health care provider with primary practice located at 57 Heffelman Dr , Grove OK 74344-4549. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brecheisen, Scott Kevin can be contacted via phone (918) 786-5533.

Contact Information

Primary practice address
57 Heffelman Dr Grove OK 74344-4549
Fax: (918) 336-5584
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4558 Oklahoma

Profile Details

NPI number 1497779326
LBN Legal business name Brecheisen, Scott Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Nov 16th, 2022 - about 3 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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