Clifford John Bradshaw in Lodi - Dentist
Clifford John Bradshaw - NPI 1730227182
Clifford John Bradshaw is a Dentist in Lodi, California. Clifford John Bradshaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clifford John Bradshaw is 1730227182. The last update date is 2007-07-08.
Clifford John Bradshaw's current location address is 801 S Ham Lane, Lodi, California. You can contact this provider via phone number 2093684141 and fax number 2093687450. The mailing address for Clifford John Bradshaw is 801 S Ham Lane, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford John Bradshaw |
|---|---|
| Address | 801 S Ham Lane, Lodi, California |
| Phone Number | 2093684141 |
| Fax Number | 2093687450 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1730227182 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 S Ham Lane |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 95242 |
| Phone Number | 2093684141 |
| Fax Number | 2093687450 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25482 |
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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 issued to Clifford John Bradshaw by the Centers for Medicare & Medicaid Services?
The Clifford John Bradshaw has been assigned the NPI (National Provider Identifier) 1730227182 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Clifford John Bradshaw?
The Clifford John Bradshaw is physically situated at 801 S Ham Lane, in the city of Lodi, state of CA, with the postal code 95242.
What is the Clifford John Bradshaw's specialty and taxonomy code?
The Clifford John Bradshaw's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730227182 to Clifford John Bradshaw?
The Centers for Medicare & Medicaid Services assigned the 1730227182 to Clifford John Bradshaw on 2007-02-01.
When was the information pertaining to Clifford John Bradshaw most recently updated or revised?
The details related to Clifford John Bradshaw, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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