Mutton, Brent Edward
Mutton, Brent Edward is an individual health care provider with primary practice located at 7202 Engle Rd , Fort Wayne IN 46804. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mutton, Brent Edward can be contacted via phone (260) 432-3459.Contact Information
Primary practice address
7202 Engle Rd
Fort Wayne IN 46804
Phone: (260) 432-3459
Fax: (260) 436-4757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12008127 | Indiana |
Profile Details
| NPI number | 1427273390 |
|---|---|
| LBN Legal business name | Mutton, Brent Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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