Edward C Brant in St James - Periodontics

Edward C Brant - NPI 1154586733

Edward C Brant is a Periodontics in St James, New York. Edward C Brant practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Edward C Brant is 1154586733. The last update date is 2008-07-23.

Edward C Brant's current location address is 447 Lake Avenue, St James, New York. You can contact this provider via phone number 6315844395 and fax number 6315844398. The mailing address for Edward C Brant is 447 Lake Avenue, St James, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward C Brant
Address 447 Lake Avenue, St James, New York
Phone Number 6315844395
Fax Number 6315844398
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1154586733
Provider Enumeration Date 2008-07-23
Last Updated Date 2008-07-23

Provider Mailing Address Detail

Address 447 Lake Avenue
City St James
State New York (NY)
Post Code 11780
Phone Number 6315844395
Fax Number 6315844398

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 43007
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Edward C Brant

What is the unique provider identifier assigned to Edward C Brant?

The Edward C Brant has been issued the NPI (National Provider Identifier) 1154586733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Edward C Brant's facilities are geographically located?

The facilities of Edward C Brant are physically situated at the following location: 447 Lake Avenue, St James, NY, 11780.

What is Edward C Brant's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Edward C Brant is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154586733 to Edward C Brant?

The Edward C Brant received its 1154586733 assignment from the Centers for Medicare & Medicaid Services on 2008-07-23.

As of what date was the information regarding Edward C Brant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edward C Brant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-23.

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