Philip K Brantly in Goldsboro - General Practice
Philip K Brantly - NPI 1114112703
Philip K Brantly is a General Practice in Goldsboro, North Carolina. Philip K Brantly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Philip K Brantly is 1114112703. The last update date is 2007-09-07.
Philip K Brantly's current location address is 1100 Parkway Dr, Goldsboro, North Carolina. You can contact this provider via phone number 9197510711 and fax number 9197511248. The mailing address for Philip K Brantly is 1100 Parkway Dr, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip K Brantly |
|---|---|
| Address | 1100 Parkway Dr, Goldsboro, North Carolina |
| Phone Number | 9197510711 |
| Fax Number | 9197511248 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114112703 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 1100 Parkway Dr |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275343477 |
| Phone Number | 9197510711 |
| Fax Number | 9197511248 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4613 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Philip K Brantly by the Centers for Medicare & Medicaid Services?
The Philip K Brantly has been assigned the NPI (National Provider Identifier) 1114112703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Philip K Brantly is geographically located?
The Philip K Brantly is physically situated at the following location: 1100 Parkway Dr, Goldsboro, NC, 275343477.
What is the Philip K Brantly's specialty and taxonomy code?
The Philip K Brantly's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Philip K Brantly receive the assignment of its 1114112703 from the Centers for Medicare & Medicaid Services?
The Philip K Brantly was issued its 1114112703 by the Centers for Medicare & Medicaid Services on 2007-09-07.
When was the information related to Philip K Brantly most recently updated or refreshed?
The details pertaining to the Philip K Brantly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-07.
NPI Number: 1104829308
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