Mushet, Shay Brannan

Mushet, Shay Brannan is an individual health care provider with primary practice located at 7930 Frost St Ste 101, San Diego CA 92123-2737. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Mushet, Shay Brannan can be contacted via phone (858) 492-9977.

Contact Information

Primary practice address
7930 Frost St Ste 101 San Diego CA 92123-2737
Fax: (858) 492-9910
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 53053 California
Dental Providers / General Practice 1223G0001X 009476 Connecticut
Dental Providers / Pediatric Dentistry 1223P0221X 53053 California

Profile Details

NPI number 1174517486
LBN Legal business name Mushet, Shay Brannan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 9th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174517486 NPPES
Connecticut MEDICAID 002094762

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