Michael Brantley D.D.S.

NPI 1053458141 - Dentist - 1223G0001X

NPI Details
NPI 1053458141
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ASBURY PARK NJ, 07712-7020, US
Phone (732) 988-2555
Fax (732) 988-1117
Business Location
PO BOX 839
ASBURY PARK NJ, 07712-7020, US
Phone (732) 988-2555
Fax (732) 988-1117
Taxonomy Code 1223G0001X
License State New Jersey
License Number 22D101009600
Remove 1053458141 NPI Number

According to our database, Dr. Michael Brantley D.D.S. NPI is 1053458141, taxonomy code is 1223G0001X and license number is 22D101009600, license state is located at New Jersey. Michael Brantley D.D.S. physically located at 711 Mattison Ave, Asbury Park NJ, 07712-7020. NPI Number Michael Brantley D.D.S. has the Individual type.

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1053458141 NPI number is provided on an as is basis without warranty of any kind. 1053458141 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Brantley D.D.S. are for informational purposes only.