Brooks, Dalton Peter
Brooks, Dalton Peter is an sole proprietor health care provider with primary practice located at 727 Wesley Pines Rd , Lumberton NC 28358-2105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brooks, Dalton Peter can be contacted via phone (910) 618-0384.Contact Information
Primary practice address
727 Wesley Pines Rd
Lumberton NC 28358-2105
Phone: (910) 618-0384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6800 | North Carolina |
Profile Details
| NPI number | 1518936020 |
|---|---|
| LBN Legal business name | Brooks, Dalton Peter |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518936020 | NPPES |
| North Carolina | MEDICAID | 8990092 | |
| North Carolina | Other | 90092 |
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