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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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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