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MR. BRETT A VALENTINE DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1396844734
Individual Registrant:MR. BRETT A VALENTINE DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
4864 B HWY 589 SUMRALL, MS 39482 US
Tel: 601-758-0150 Fax: 601-758-0149
Tel: 601-758-0150 Fax: 601-758-0149
Contact information for business:
PO BOX 469 SUMRALL, MS 39482 US
Tel: 601-758-0150 Fax: 601-758-0149
Tel: 601-758-0150 Fax: 601-758-0149
Registration Information:
NPI: 1396844734
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | MS | 2752 93 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00660280 | MS | 05 | |
| UNITED CONCORDIA | 873476 | 01 |
