Brantley, David Willis
Brantley, David Willis is an individual health care provider with primary practice located at 495 Furys Ferry Rd , Martinez GA 30907-8221. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brantley, David Willis can be contacted via phone (706) 825-6196.Contact Information
Primary practice address
495 Furys Ferry Rd
Martinez GA 30907-8221
Phone: (706) 825-6196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN014795 | Georgia |
Profile Details
| NPI number | 1235544404 |
|---|---|
| LBN Legal business name | Brantley, David Willis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2014 |
| Last updated | Apr 12th, 2017 - about 9 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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