Daub, Brian Jay

Daub, Brian Jay is an individual health care provider with primary practice located at 21321 E Ocotillo Rd Ste 106 , Queen Creek AZ 85242-5993. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Daub, Brian Jay can be contacted via phone (480) 882-3330.

Contact Information

Primary practice address
21321 E Ocotillo Rd Ste 106 Queen Creek AZ 85242-5993
Phone: (480) 882-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS030474R Pennsylvania
Dental Providers / Dentist 122300000X D7185 Arizona

Profile Details

NPI number 1386795458
LBN Legal business name Daub, Brian Jay
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 30th, 2009 - about 17 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 1386795458 NPPES
Pennsylvania Other 346978 BLUE SHIELD PROVIDER ID

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