Coffield, Brent Baber

Coffield, Brent Baber is an sole proprietor health care provider with primary practice located at 119 Union St , Bennington VT 05201-2406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Coffield, Brent Baber can be contacted via phone (802) 442-4663.

Contact Information

Primary practice address
119 Union St Bennington VT 05201-2406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 016-0001082 Vermont

Profile Details

NPI number 1568514156
LBN Legal business name Coffield, Brent Baber
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 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 1568514156 NPPES
Vermont MEDICAID 1002915

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