Individual
DR. BRENT MERVIN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2285 KITTANNING PIKE, PARKER, PA 16049-1411
(724) 399-9195
(724) 399-9199
Mailing address
2285 KITTANNING PIKE, PARKER, PA 16049-1411
(724) 399-9195
(724) 399-9199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030697L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01336244
UCCI
—
Enumeration date
08/15/2006
Last updated
07/08/2007
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