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
Phone: (858) 492-9977
Fax: (858) 492-9910
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174517486 | NPPES |
Connecticut | MEDICAID | 002094762 |
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