Penton, Brian

Penton, Brian is an individual health care provider with primary practice located at 1615 Truemper St Bldg 6418 , Lackland Afb TX 78236-5511. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Penton, Brian can be contacted via phone (210) 292-0694.

Contact Information

Primary practice address
1615 Truemper St Bldg 6418 Lackland Afb TX 78236-5511
Phone: (210) 292-0694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11755 Minnesota
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 34385 Texas

Profile Details

NPI number 1053303644
LBN Legal business name Penton, Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Dec 30th, 2021 - about 5 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 1053303644 NPPES
Minnesota Other D11755 DENTIST

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