Brunson, Jordan Tyler

Brunson, Jordan Tyler is an sole proprietor health care provider with primary practice located at 4898 Little Rd , Arlington TX 76017-1054. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Brunson, Jordan Tyler can be contacted via phone (614) 668-0880.

Contact Information

Primary practice address
4898 Little Rd Arlington TX 76017-1054
Phone: (614) 668-0880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 36152 Texas

Profile Details

NPI number 1528680824
LBN Legal business name Brunson, Jordan Tyler
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2020
Last updated Jun 29th, 2020 - about 4 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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