Prudent, Brian Anthony

Prudent, Brian Anthony is an individual health care provider with primary practice located at 1828 Avenue Of The Cities , Moline IL 61265-4858. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Prudent, Brian Anthony can be contacted via phone (309) 764-0008.

Contact Information

Primary practice address
1828 Avenue Of The Cities Moline IL 61265-4858
Phone: (309) 764-0008
Fax: (309) 764-0059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.025580 Illinois

Profile Details

NPI number 1528114675
LBN Legal business name Prudent, Brian Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated May 29th, 2015 - about 10 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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