Tilts, Brandon John

Tilts, Brandon John is an individual health care provider with primary practice located at 518 N Beaver St Suite A, Flagstaff AZ 86001-3020. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tilts, Brandon John can be contacted via phone (928) 774-4705.

Contact Information

Primary practice address
518 N Beaver St Suite A Flagstaff AZ 86001-3020
Fax: (928) 213-9665
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7686 Arizona

Profile Details

NPI number 1073709366
LBN Legal business name Tilts, Brandon John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Mar 26th, 2012 - about 12 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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