MR. BRIAN J TRACEY CDT NPI 1477728442

NPI Information

MR. Brian J Tracey, CDT is a dental laboratory technician in Santa Fe, NM. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. MR. Brian J Tracey, CDT NPI is 1477728442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 CALLE MEDICO
SUITE #5
SANTA FE, NM
ZIP 87505
Phone: (505) 982-4119
Fax: (505) 982-0015

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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