Brutus, Jean-Daniel

Brutus, Jean-Daniel is an sole proprietor health care provider with primary practice located at 12300 Kemmerton Ln , Bowie MD 20715-2721. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brutus, Jean-Daniel can be contacted via phone (301) 262-1112.

Contact Information

Primary practice address
12300 Kemmerton Ln Bowie MD 20715-2721
Phone: (301) 262-1112
Fax: (301) 262-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13673 Maryland

Profile Details

NPI number 1659437762
LBN Legal business name Brutus, Jean-Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2007
Last updated Jul 8th, 2007 - about 19 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 1659437762 NPPES
Maryland MEDICAID 4108761

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