Green, Brad

Green, Brad is an individual health care provider with primary practice located at 2421 N Center St Ste D , Fayetteville AR 72701-9609. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Green, Brad can be contacted via phone (479) 445-7281.

Contact Information

Primary practice address
2421 N Center St Ste D Fayetteville AR 72701-9609
Phone: (479) 445-7281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3578 Arkansas

Profile Details

NPI number 1083742928
LBN Legal business name Green, Brad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 26th, 2023 - 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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