Depta, Brent
Depta, Brent is an sole proprietor health care provider with primary practice located at 2711 Windemere Dr , Valdosta GA 31602-1696. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Depta, Brent can be contacted via phone (229) 247-0437.Contact Information
Primary practice address
2711 Windemere Dr
Valdosta GA 31602-1696
Phone: (229) 247-0437
Fax: (229) 242-4395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 012319 | Georgia |
Profile Details
| NPI number | 1649370339 |
|---|---|
| LBN Legal business name | Depta, Brent |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Apr 9th, 2020 - 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.
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