Golden, Brent Allen

Golden, Brent Allen is an individual health care provider with primary practice located at 207 W Gore St Ste 302 , Orlando FL 32806-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Golden, Brent Allen can be contacted via phone (407) 839-8407.

Contact Information

Primary practice address
207 W Gore St Ste 302 Orlando FL 32806-1014
Phone: (407) 839-8407
Fax: (407) 839-8446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME123445 Florida

Profile Details

NPI number 1679779532
LBN Legal business name Golden, Brent Allen
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jun 20th, 2019 - about 6 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 1679779532 NPPES
Florida MEDICAID 014953200

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