Davis, Bret C
Davis, Bret C is an individual health care provider with primary practice located at 4665 Sweetwater Blvd Ste 450 , Sugar Land TX 77479-3155. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Assistant. Dental Providers / Dentist is his primary health care specialty. Davis, Bret C can be contacted via phone (281) 265-7645.Contact Information
Primary practice address
4665 Sweetwater Blvd Ste 450
Sugar Land TX 77479-3155
Phone: (281) 265-7645
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 27714 | Texas |
Dental Providers / Dental Assistant | 126800000X | D3668 | Idaho |
Profile Details
NPI number | 1992714489 |
---|---|
LBN Legal business name | Davis, Bret C |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Apr 8th, 2021 - about 4 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 | 1992714489 | NPPES |
Nevada | MEDICAID | 100508089 | |
Nevada | MEDICAID | 806617800 |
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