Smith, Bracken Gamble
Smith, Bracken Gamble is an sole proprietor health care provider with primary practice located at 4341 Tudor Centre Dr , Anchorage AK 99508-5904. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Smith, Bracken Gamble can be contacted via phone (907) 729-2000.Contact Information
Primary practice address
4341 Tudor Centre Dr
Anchorage AK 99508-5904
Phone: (907) 729-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9058059-9922 | Utah |
Dental Providers / Endodontics | 1223E0200X | 9058059-9922 | Utah |
Dental Providers / Endodontics | 1223E0200X | 222576 | Alaska |
Profile Details
NPI number | 1447663083 |
---|---|
LBN Legal business name | Smith, Bracken Gamble |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2014 |
Last updated | Jun 4th, 2024 - about 6 months 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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