Bradley Arthur Ditsworth in Las Vegas - Dentist
Bradley Arthur Ditsworth - NPI 1376573196
Bradley Arthur Ditsworth is a Dentist in Las Vegas, Nevada. Bradley Arthur Ditsworth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Arthur Ditsworth is 1376573196. The last update date is 2007-07-08.
Bradley Arthur Ditsworth's current location address is 2458 E Russell Rd, Las Vegas, Nevada. You can contact this provider via phone number 7027986216 and fax number 7027986269. The mailing address for Bradley Arthur Ditsworth is 2458 E Russell Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Arthur Ditsworth |
|---|---|
| Address | 2458 E Russell Rd, Las Vegas, Nevada |
| Phone Number | 7027986216 |
| Fax Number | 7027986269 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1376573196 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2458 E Russell Rd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891202474 |
| Phone Number | 7027986216 |
| Fax Number | 7027986269 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2489 |
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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 identification code issued to Bradley Arthur Ditsworth by the Centers for Medicare & Medicaid Services?
The Bradley Arthur Ditsworth has been assigned the NPI (National Provider Identifier) 1376573196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Bradley Arthur Ditsworth's facilities are geographically located?
The facilities of Bradley Arthur Ditsworth are physically situated at the following location: 2458 E Russell Rd, Las Vegas, NV, 891202474.
What is the Bradley Arthur Ditsworth's specialty and taxonomy code?
The Bradley Arthur Ditsworth's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Bradley Arthur Ditsworth's 1376573196 issued?
The Bradley Arthur Ditsworth's 1376573196 was issued on 2006-07-04.
As of what date were the Bradley Arthur Ditsworth's details last updated?
The information pertaining to the Bradley Arthur Ditsworth, including its address, specialty, and other details, was most recently updated on 2007-07-08.