Bryant, Katherine Bray
Bryant, Katherine Bray is an individual health care provider with primary practice located at 7465 Northside Dr , North Charleston SC 29420-4209. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Bryant, Katherine Bray can be contacted via phone (843) 797-5400.Contact Information
Primary practice address
7465 Northside Dr
North Charleston SC 29420-4209
Phone: (843) 797-5400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4046 | South Carolina |
Dental Providers / Pediatric Dentistry | 1223P0221X | 710 | South Carolina |
Profile Details
NPI number | 1982781001 |
---|---|
LBN Legal business name | Bryant, Katherine Bray |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Nov 9th, 2012 - about 13 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 | 1982781001 | NPPES |
South Carolina | MEDICAID | ZX4046 |
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