Brogdon, Stephen Gatlin
Brogdon, Stephen Gatlin is an sole proprietor health care provider with primary practice located at 3646 Granbury Rd Suite 104, Fort Worth TX 76109-3717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brogdon, Stephen Gatlin can be contacted via phone (817) 923-4606.Contact Information
Primary practice address
3646 Granbury Rd Suite 104
Fort Worth TX 76109-3717
Phone: (817) 923-4606
Fax: (817) 923-5593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17178 | Texas |
Profile Details
| NPI number | 1194835215 |
|---|---|
| LBN Legal business name | Brogdon, Stephen Gatlin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 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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