Bailey, Brent G
Bailey, Brent G is an sole proprietor health care provider with primary practice located at 15 21St Ave , Isle Of Palms SC 29451-2384. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bailey, Brent G can be contacted via phone (843) 886-6461.Contact Information
Primary practice address
15 21St Ave
Isle Of Palms SC 29451-2384
Phone: (843) 886-6461
Fax: (846) 886-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3539 | South Carolina |
Profile Details
| NPI number | 1225132871 |
|---|---|
| LBN Legal business name | Bailey, Brent G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | May 2nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225132871 | NPPES |
| South Carolina | MEDICAID | ZX3539 |
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