Individual
BRANDON M PRIVITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7777 US HIGHWAY 23, PIKETON, OH 45661-9102
(740) 289-3508
(740) 289-8951
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
(740) 289-4291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025747
OH
Other
Enumeration date
05/07/2019
Last updated
09/22/2021
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