Roehl, Brian Urban

Roehl, Brian Urban is an individual health care provider with primary practice located at 125 Eagles Pointe Pkwy Suite 210, Stockbridge GA 30281-6379. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roehl, Brian Urban can be contacted via phone (770) 507-7282.

Contact Information

Primary practice address
125 Eagles Pointe Pkwy Suite 210 Stockbridge GA 30281-6379
Phone: (770) 507-7282
Fax: (770) 692-0651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012822 Georgia

Profile Details

NPI number 1013938364
LBN Legal business name Roehl, Brian Urban
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 24th, 2012 - about 14 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 1013938364 NPPES
Georgia MEDICAID 563858901A

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