Dyess, Brian Nelson

Dyess, Brian Nelson is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 610, Baton Rouge LA 70808-4300. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dyess, Brian Nelson can be contacted via phone (225) 769-2278.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 610 Baton Rouge LA 70808-4300
Phone: (225) 769-2278
Fax: (225) 769-2299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3821 Louisiana

Profile Details

NPI number 1609815380
LBN Legal business name Dyess, Brian Nelson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 9th, 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 1609815380 NPPES
Louisiana MEDICAID 1838217

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