Brisendine, Frank

Brisendine, Frank is an sole proprietor health care provider with primary practice located at Lakeside Denture Studio 6420 Hwy 93 South, Lakeside MT 59922-0728. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Brisendine, Frank can be contacted via phone (406) 857-3711.

Contact Information

Primary practice address
Lakeside Denture Studio 6420 Hwy 93 South Lakeside MT 59922-0728
Fax: (406) 857-3712
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 4 Montana

Profile Details

NPI number 1134333719
LBN Legal business name Brisendine, Frank
Credentials L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134333719 NPPES
Montana MEDICAID 0150144

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