Individual
DR. BRIAN JEFFREY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10407 DAYTON PIKE, SODDY DAISY, TN 37379-5213
(423) 442-5463
Mailing address
10407 DAYTON PIKE, SODDY DAISY, TN 37379-5213
(423) 442-5463
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3760
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5948
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9115
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN014509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533334
—
TN
05
—
183644608
—
AR
Enumeration date
06/01/2010
Last updated
02/17/2016
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