Robert David Bradberry in Marietta - Dentist
Robert David Bradberry - NPI 1538333810
Robert David Bradberry is a Dentist in Marietta, Georgia. Robert David Bradberry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert David Bradberry is 1538333810. The last update date is 2010-11-15.
Robert David Bradberry's current location address is 1070 Woodlawn Dr Ne, Marietta, Georgia. You can contact this provider via phone number 7700778644 and fax number 7709717953. The mailing address for Robert David Bradberry is 1070 Woodlawn Dr Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert David Bradberry |
|---|---|
| Address | 1070 Woodlawn Dr Ne, Marietta, Georgia |
| Phone Number | 7700778644 |
| Fax Number | 7709717953 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1538333810 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2010-11-15 |
Provider Mailing Address Detail
| Address | 1070 Woodlawn Dr Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300684264 |
| Phone Number | 7700778644 |
| Fax Number | 7709717953 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10663 |
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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 Robert David Bradberry by the Centers for Medicare & Medicaid Services?
The Robert David Bradberry has been assigned the NPI (National Provider Identifier) 1538333810 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Robert David Bradberry's physical address?
The Robert David Bradberry is physically located at 1070 Woodlawn Dr Ne, in the city of Marietta, GA, with the postal code 300684264.
What is Robert David Bradberry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert David Bradberry'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 1538333810 to Robert David Bradberry?
The Centers for Medicare & Medicaid Services originally issued the 1538333810 to Robert David Bradberry on 2008-04-17.
As of what date were the details related to Robert David Bradberry most recently updated or revised?
The information pertaining to Robert David Bradberry, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-15.
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