Pierce, David Brooks

Pierce, David Brooks is an sole proprietor health care provider with primary practice located at 110 Lake Rd. , Ballston Lake NY 12019. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pierce, David Brooks can be contacted via phone (518) 399-6308.

Contact Information

Primary practice address
110 Lake Rd. Ballston Lake NY 12019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 032790 New York

Profile Details

NPI number 1457574287
LBN Legal business name Pierce, David Brooks
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457574287 NPPES
New York MEDICAID 00547420

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