Individual
JOSHUA BRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PC
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016-0087001
VT
122300000X
Dentist
Primary
057154
NY
122300000X
Dentist
DEN4224
ME
1223D0001X
Public Health Dentistry
016-0087001
VT
1223D0001X
Public Health Dentistry
16-0087001
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021135
—
VT
Enumeration date
07/06/2011
Last updated
03/02/2021
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