Hathaway, Bradley Wyatt
Hathaway, Bradley Wyatt is an sole proprietor health care provider with primary practice located at 2200 Fort Roots Dr , North Little Rock AR 72114-1709. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hathaway, Bradley Wyatt can be contacted via phone (501) 626-1830.Contact Information
Primary practice address
2200 Fort Roots Dr
North Little Rock AR 72114-1709
Phone: (501) 626-1830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3471 | Arkansas |
Profile Details
| NPI number | 1952472029 |
|---|---|
| LBN Legal business name | Hathaway, Bradley Wyatt |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jul 18th, 2013 - about 12 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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