Brandon Scott Roller in Bristol - General Practice

Brandon Scott Roller - NPI 1114949294

Brandon Scott Roller is a General Practice in Bristol, Tennessee. Brandon Scott Roller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brandon Scott Roller is 1114949294. The last update date is 2007-07-08.

Brandon Scott Roller's current location address is 401 Edgemont Avenue, Bristol, Tennessee. You can contact this provider via phone number 4239684422 and fax number 4239683477. The mailing address for Brandon Scott Roller is 401 Edgemont Avenue, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandon Scott Roller
Address 401 Edgemont Avenue, Bristol, Tennessee
Phone Number 4239684422
Fax Number 4239683477
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1114949294
Provider Enumeration Date 2006-07-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 401 Edgemont Avenue
City Bristol
State Tennessee (TN)
Post Code 37620
Phone Number 4239684422
Fax Number 4239683477

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS0000008407
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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FAQs about Brandon Scott Roller

What is the Brandon Scott Roller's 1114949294?

The Brandon Scott Roller's NPI (National Provider Identifier) Number is 1114949294. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Brandon Scott Roller is located?

The Brandon Scott Roller is situated at the following address: 401 Edgemont Avenue, Bristol, TN, 37620.

What is Brandon Scott Roller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Brandon Scott Roller is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Brandon Scott Roller receive its 1114949294 assignment from the Centers for Medicare & Medicaid Services?

The Brandon Scott Roller was assigned its 1114949294 by the Centers for Medicare & Medicaid Services on 2006-07-24.

When was the information regarding Brandon Scott Roller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Brandon Scott Roller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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