Provider Demographics
NPI:1093023053
Name:PRESSLEY, BRIAN TIMOTHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:TIMOTHY
Last Name:PRESSLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 ROGERS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3895
Mailing Address - Country:US
Mailing Address - Phone:919-554-4588
Mailing Address - Fax:
Practice Address - Street 1:2824 ROGERS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3895
Practice Address - Country:US
Practice Address - Phone:919-554-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice