Mark F Bradshaw is a Dentist in Waconia, Minnesota. Mark F Bradshaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark F Bradshaw is 1114141595. The last update date is 2007-07-08.
Mark F Bradshaw's current location address is 24 S Olive St, Waconia, Minnesota. You can contact this provider via phone number 9524422518 and fax number 9524425040. The mailing address for Mark F Bradshaw is 24 S Olive St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark F Bradshaw |
|---|---|
| Address | 24 S Olive St, Waconia, Minnesota |
| Phone Number | 9524422518 |
| Fax Number | 9524425040 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114141595 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24 S Olive St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 553871404 |
| Phone Number | 9524422518 |
| Fax Number | 9524425040 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D10725 |
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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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Post Comment/ Review Below
What is the Mark F Bradshaw's unique identification number?
The Mark F Bradshaw has been assigned the NPI (National Provider Identifier) Number 1114141595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mark F Bradshaw is located?
The Mark F Bradshaw is situated at the following address: 24 S Olive St, Waconia, MN, 553871404.
What is Mark F Bradshaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark F Bradshaw is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Mark F Bradshaw's 1114141595 issued?
The Mark F Bradshaw's 1114141595 was issued on 2007-04-13.
As of what date were the details related to Mark F Bradshaw most recently updated or revised?
The information pertaining to Mark F Bradshaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.