Bradley Dale Harrelson in Eglin Afb - Dentist
Bradley Dale Harrelson - NPI 1386836427
Bradley Dale Harrelson is a Dentist in Eglin Afb, Florida. Bradley Dale Harrelson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Dale Harrelson is 1386836427. The last update date is 2018-04-27.
Bradley Dale Harrelson's current location address is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can contact this provider via phone number 8508838600. The mailing address for Bradley Dale Harrelson is 307 Boatner Rd Ste 114, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley Dale Harrelson |
---|---|
Address | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
Phone Number | 8508838600 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.M.D. |
NPI Number Detail
NPI Number | 1386836427 |
---|---|
Provider Enumeration Date | 2007-08-13 |
Last Updated Date | 2018-04-27 |
Provider Mailing Address Detail
Address | 307 Boatner Rd Ste 114 |
---|---|
City | Eglin Afb |
State | Florida (FL) |
Post Code | 325421302 |
Phone Number | 8508838600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
---|---|
Taxonomy | 122300000X |
Licence No | 3428-07 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Dale Harrelson?
The Bradley Dale Harrelson has been issued the NPI (National Provider Identifier) 1386836427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradley Dale Harrelson is located?
The Bradley Dale Harrelson is situated at the following address: 307 Boatner Rd Ste 114, Eglin Afb, FL, 325421302.
What is Bradley Dale Harrelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Dale Harrelson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386836427 to Bradley Dale Harrelson?
The Centers for Medicare & Medicaid Services originally issued the 1386836427 to Bradley Dale Harrelson on 2007-08-13.
As of what date were the details related to Bradley Dale Harrelson most recently updated or revised?
The information pertaining to Bradley Dale Harrelson, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-27.