Carranza, Brett Joseph

Carranza, Brett Joseph is an sole proprietor health care provider with primary practice located at 218 W 39Th St , Kearney NE 68845-2802. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Carranza, Brett Joseph can be contacted via phone (402) 480-4466.

Contact Information

Primary practice address
218 W 39Th St Kearney NE 68845-2802
Phone: (402) 480-4466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6781 Nebraska
Dental Providers / Pediatric Dentistry 1223P0221X 6781 Nebraska

Profile Details

NPI number 1407011513
LBN Legal business name Carranza, Brett Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2008
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407011513 NPPES
Nebraska Other 6781 DENTAL LICENSE

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