Russell, Bradly Kalb
Russell, Bradly Kalb is an sole proprietor health care provider with primary practice located at 1601 S Hawthorne Rd , Winston Salem NC 27103-4127. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Russell, Bradly Kalb can be contacted via phone (336) 765-9550.Contact Information
Primary practice address
1601 S Hawthorne Rd
Winston Salem NC 27103-4127
Phone: (336) 765-9550
Fax: (336) 765-9552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30.0239911 | Ohio |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 11536 | North Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30-023991 | Ohio |
Profile Details
| NPI number | 1932490307 |
|---|---|
| LBN Legal business name | Russell, Bradly Kalb |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2011 |
| Last updated | Oct 6th, 2021 - about 3 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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