Braxton, Sonia Denise

Braxton, Sonia Denise is an individual health care provider with primary practice located at 1154 S Bellevue Blvd , Memphis TN 38106-3428. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Braxton, Sonia Denise can be contacted via phone (901) 775-0870.

Contact Information

Primary practice address
1154 S Bellevue Blvd Memphis TN 38106-3428
Phone: (901) 775-0870
Fax: (901) 775-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS7160 Tennessee

Profile Details

NPI number 1467435198
LBN Legal business name Braxton, Sonia Denise
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 16 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 1467435198 NPPES
Tennessee MEDICAID 3207022

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