Brooks, Jr, Roger Dale
Brooks, Jr, Roger Dale is an individual health care provider with primary practice located at 402 E Parkway Dr , Russellville AR 72801-4103. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brooks, Jr, Roger Dale can be contacted via phone (479) 890-6174.Contact Information
Primary practice address
402 E Parkway Dr
Russellville AR 72801-4103
Phone: (479) 890-6174
Fax: (479) 967-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3667 | Arkansas |
Profile Details
| NPI number | 1447419080 |
|---|---|
| LBN Legal business name | Brooks, Jr, Roger Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Jun 9th, 2008 - about 18 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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