Brussell, Gregory
Brussell, Gregory is an individual health care provider with primary practice located at 919 Chambers Blvd , Bardstown KY 40004-2573. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dental Public Health is his primary health care specialty. Brussell, Gregory can be contacted via phone (502) 348-6404.Contact Information
Primary practice address
919 Chambers Blvd
Bardstown KY 40004-2573
Phone: (502) 348-6404
Fax: (502) 348-6342
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | 9847 | Kentucky |
Dental Providers / Dentist | 122300000X | 9847 | Kentucky |
Profile Details
NPI number | 1548715758 |
---|---|
LBN Legal business name | Brussell, Gregory |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2016 |
Last updated | Sep 8th, 2020 - about 5 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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