Genna, Brian A
Genna, Brian A is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Genna, Brian A can be contacted via phone (508) 852-1805.Contact Information
Primary practice address
19 Tacoma St
Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN18501 | Massachusetts |
Profile Details
| NPI number | 1093776312 |
|---|---|
| LBN Legal business name | Genna, Brian A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 27th, 2014 - 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 | 1093776312 | NPPES |
| Massachusetts | MEDICAID | 1301071 |
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