Greenwalt, Brandon Lee

Greenwalt, Brandon Lee is an individual health care provider with primary practice located at 410 Ne Waldo Rd , Gainesville FL 32641-5685. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Greenwalt, Brandon Lee can be contacted via phone (352) 375-3790.

Contact Information

Primary practice address
410 Ne Waldo Rd Gainesville FL 32641-5685
Phone: (352) 375-3790
Fax: (352) 375-3791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN 19737 Florida

Profile Details

NPI number 1194087742
LBN Legal business name Greenwalt, Brandon Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Oct 29th, 2013 - about 13 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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