Fields, Bryan Solomon
Fields, Bryan Solomon is an individual health care provider with primary practice located at 1618 N 5Th St Ste. 2, Ponca City OK 74601-2746. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fields, Bryan Solomon can be contacted via phone (580) 762-5624.Contact Information
Primary practice address
1618 N 5Th St Ste. 2
Ponca City OK 74601-2746
Phone: (580) 762-5624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5424 | Oklahoma |
Profile Details
| NPI number | 1073555942 |
|---|---|
| LBN Legal business name | Fields, Bryan Solomon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073555942 | NPPES |
| Oklahoma | Other | 5424 | STATE LICENSE |
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