Busbee, Bradley S

Busbee, Bradley S is an individual health care provider with primary practice located at 318 Johnny Mercer Blvd Ste 12 , Savannah GA 31410-2196. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Busbee, Bradley S can be contacted via phone (912) 897-4548.

Contact Information

Primary practice address
318 Johnny Mercer Blvd Ste 12 Savannah GA 31410-2196
Phone: (912) 897-4548
Fax: (912) 897-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3811 South Carolina

Profile Details

NPI number 1417003369
LBN Legal business name Busbee, Bradley S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 2nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417003369 NPPES
Other 1303310 UNITED CONCORDIA
MEDICAID ZX3811 UNITED CONCORDIA

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