Washington, Brandon James

Washington, Brandon James is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Washington, Brandon James can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Fax: (505) 368-6360
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-023500 Ohio

Profile Details

NPI number 1255627329
LBN Legal business name Washington, Brandon James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Jan 17th, 2019 - about 5 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 1255627329 NPPES
Ohio MEDICAID 0050623

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