Manley, Daniel Bruce
Manley, Daniel Bruce is an sole proprietor health care provider with primary practice located at 1107 Indian Mound Dr Ste C , Mt Sterling KY 40353-1300. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Manley, Daniel Bruce can be contacted via phone (859) 498-2356.Contact Information
Primary practice address
1107 Indian Mound Dr Ste C
Mt Sterling KY 40353-1300
Phone: (859) 498-2356
Fax: (859) 498-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5357 | Kentucky |
Profile Details
| NPI number | 1619162070 |
|---|---|
| LBN Legal business name | Manley, Daniel Bruce |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619162070 | NPPES |
| Kentucky | Other | 45003688 | MEDICAID EPSDT |
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