Quackenbush, Brett Michael
Quackenbush, Brett Michael is an individual health care provider with primary practice located at 1534 E Ray Rd #121, Gilbert AZ 85296-4429. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Quackenbush, Brett Michael can be contacted via phone (480) 963-8373.Contact Information
Primary practice address
1534 E Ray Rd #121
Gilbert AZ 85296-4429
Phone: (480) 963-8373
Fax: (480) 963-4489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | D4963 | Arizona |
Profile Details
NPI number | 1669408472 |
---|---|
LBN Legal business name | Quackenbush, Brett Michael |
Credentials | DDS, MSD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
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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