Brenner, Gary Neal

Brenner, Gary Neal is an sole proprietor health care provider with primary practice located at 97 N Main St , Southampton NY 11968-3309. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Brenner, Gary Neal can be contacted via phone (631) 283-6362.

Contact Information

Primary practice address
97 N Main St Southampton NY 11968-3309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 040360 New York

Profile Details

NPI number 1184872970
LBN Legal business name Brenner, Gary Neal
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 16 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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