Goldthorpe, Brent Charles
Goldthorpe, Brent Charles is an individual health care provider with primary practice located at 120 Desert Sage Way , Mountain Home ID 83647-1038. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goldthorpe, Brent Charles can be contacted via phone (208) 696-7203.Contact Information
Primary practice address
120 Desert Sage Way
Mountain Home ID 83647-1038
Phone: (208) 696-7203
Fax: (208) 587-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2358 | Montana |
| Dental Providers / General Practice | 1223G0001X | D4080 | Idaho |
Profile Details
| NPI number | 1992960116 |
|---|---|
| LBN Legal business name | Goldthorpe, Brent Charles |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2008 |
| Last updated | Mar 18th, 2024 - about last year |
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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