Shea, Brian Mark
Shea, Brian Mark is an individual health care provider with primary practice located at 335 Corey Street , West Roxbury MA 02132-1614. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shea, Brian Mark can be contacted via phone (617) 327-5335.Contact Information
Primary practice address
335 Corey Street
West Roxbury MA 02132-1614
Phone: (617) 327-5335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19380 | Massachusetts |
Profile Details
| NPI number | 1285857813 |
|---|---|
| LBN Legal business name | Shea, Brian Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| 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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