Povolny, Brian T
Povolny, Brian T is an individual health care provider with primary practice located at 411 Strander Blvd Suite 104 , Tukwila WA 98188. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Povolny, Brian T can be contacted via phone (206) 575-1515.Contact Information
Primary practice address
411 Strander Blvd Suite 104
Tukwila WA 98188
Phone: (206) 575-1515
Fax: (206) 575-1219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE00005752 | Washington |
Profile Details
| NPI number | 1316046857 |
|---|---|
| LBN Legal business name | Povolny, Brian T |
| Credentials | DDS MSD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| 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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