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
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
Provider Enumeration Date 2005-08-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1st Dental Battalion/ndc
City Camp Pendleton
State California (CA)
Post Code 92055
Phone Number 7607252569
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
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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FAQs about Brendan William Tully

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.

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