Goldesberry, Bryan M
Goldesberry, Bryan M is an individual health care provider with primary practice located at 1366 E Main St , Carbondale IL 62901-3144. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goldesberry, Bryan M can be contacted via phone (618) 549-0208.Contact Information
Primary practice address
1366 E Main St
Carbondale IL 62901-3144
Phone: (618) 549-0208
Fax: (618) 549-0182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019-027825 | Illinois |
Profile Details
| NPI number | 1598904591 |
|---|---|
| LBN Legal business name | Goldesberry, Bryan M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2009 |
| Last updated | Dec 16th, 2011 - about 14 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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