Mudd, Bryan Alexander
Mudd, Bryan Alexander is an individual health care provider with primary practice located at 6865 Fairview Rd Suite A, Charlotte NC 28210-2700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mudd, Bryan Alexander can be contacted via phone (704) 364-9686.Contact Information
Primary practice address
6865 Fairview Rd Suite A
Charlotte NC 28210-2700
Phone: (704) 364-9686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7310 | North Carolina |
Profile Details
| NPI number | 1588613137 |
|---|---|
| LBN Legal business name | Mudd, Bryan Alexander |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| 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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