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Contact Information

BRAY, DMD & YOUNG, DMD, PC
2 LESTER CT
STATESBORO, GA30458-2118
 Phone: 912-489-1386
 Fax: 912-764-8533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for BRAY DMD YOUNG DMD PC · (Female)

NPI Number 1134235609
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2006
Last updated 11/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 10099
  • GA License # 9793
  • GA Medicaid 00328314B
  • GA Medicaid 00328622B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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