Quattlebaum, James Bryan

Quattlebaum, James Bryan is an individual health care provider with primary practice located at 8260 Longleaf Drive C1-115, Elk Grove CA 95758. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is his primary health care specialty. Quattlebaum, James Bryan can be contacted via phone (916) 691-0259.

Contact Information

Primary practice address
8260 Longleaf Drive C1-115 Elk Grove CA 95758
Phone: (916) 691-0259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28376 California
Dental Providers / Periodontics 1223P0300X 28376 California

Profile Details

NPI number 1649272774
LBN Legal business name Quattlebaum, James Bryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 13th, 2015 - about 11 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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