Dr. Brent Steven Desutter
Dentist - General Practice
718 N Buckner Blvd Ste 110
Dallas
, Texas 75218-2764
Dr. Brent Steven Desutter
Dentist - General Practice
718 N Buckner Blvd Ste 110
Dallas
, Texas 75218-2764
(214) 295-8440
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Brent Steven Desutter
- 718 N Buckner Blvd Ste 110
- Dallas, TX
- Zip : 75218-2764
- Phone : (214) 295-8440
Second Address
- Dr. Brent Steven Desutter
- 718 N Buckner Blvd Ste 110
- Dallas, TX
- Zip : 75218-2764
- Phone : (214) 295-8440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 32336 | TX |
| Y | 213EG0000X | General Practice | 32336 | TX |
National Provider Identifier
| NPI | 1003256272 |
|---|---|
| Provider Name | Dr. Brent Steven Desutter |
| First Address | Dallas, TX 75218-2764 |
| Second Address | Dallas, TX 75218-2764 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2013 |
| Last Update Date | 10/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.