Brendan William Tully in Camp Pendleton - Dentist
Brendan William Tully - NPI 1215920061
Brendan William Tully is a Dentist in Camp Pendleton, California. Brendan William Tully practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brendan William Tully is 1215920061. The last update date is 2007-07-08.
Brendan William Tully's current location address is 1st Dental Battalion/ndc, Camp Pendleton, California. You can contact this provider via phone number 7607252569. The mailing address for Brendan William Tully is 1st Dental Battalion/ndc, Camp Pendleton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brendan William Tully |
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Address | 1st Dental Battalion/ndc, Camp Pendleton, California |
Phone Number | 7607252569 |
Fax Number | |
Sole Proprietor | X |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1215920061 |
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Provider Enumeration Date | 2005-08-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1st Dental Battalion/ndc |
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City | Camp Pendleton |
State | California (CA) |
Post Code | 92055 |
Phone Number | 7607252569 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 5806 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Brendan William Tully by the Centers for Medicare & Medicaid Services?
The Brendan William Tully has been issued the NPI (National Provider Identifier) 1215920061 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brendan William Tully's facilities are geographically located?
The facilities of Brendan William Tully are physically situated at the following location: 1St Dental Battalion/Ndc, Camp Pendleton, CA, 92055.
What is Brendan William Tully's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brendan William Tully's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215920061 to Brendan William Tully?
The Centers for Medicare & Medicaid Services originally issued the 1215920061 to Brendan William Tully on 2005-08-26.
As of what date were the Brendan William Tully's details last updated?
The information pertaining to the Brendan William Tully, including its address, specialty, and other details, was most recently updated on 2007-07-08.