Samuel, Bradley Austin

Samuel, Bradley Austin is an individual health care provider with primary practice located at 1001 N Lindsay St , High Point NC 27262-3905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Samuel, Bradley Austin can be contacted via phone (336) 883-2316.

Contact Information

Primary practice address
1001 N Lindsay St High Point NC 27262-3905
Phone: (336) 883-2316
Fax: (336) 883-7686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7652 North Carolina

Profile Details

NPI number 1780626366
LBN Legal business name Samuel, Bradley Austin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 9th, 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 1780626366 NPPES
North Carolina MEDICAID 89902TW

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