Deaton, Brian Edward

Deaton, Brian Edward is an individual health care provider with primary practice located at 251 Morton Blvd , Hazard KY 41701-9470. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is his primary health care specialty. Deaton, Brian Edward can be contacted via phone (606) 439-1079.

Contact Information

Primary practice address
251 Morton Blvd Hazard KY 41701-9470
Phone: (606) 439-1079
Fax: (606) 439-3878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7652 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 7652 Kentucky

Profile Details

NPI number 1225163405
LBN Legal business name Deaton, Brian Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 3rd, 2008 - 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 1225163405 NPPES
Kentucky MEDICAID 60000320
Kentucky MEDICAID 45003803

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