Bradley Redge Peterson in Mesquite - Dentist
Bradley Redge Peterson - NPI 1811058365
Bradley Redge Peterson is a Dentist in Mesquite, Nevada. Bradley Redge Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Redge Peterson is 1811058365. The last update date is 2007-07-08.
Bradley Redge Peterson's current location address is 61 N Willow St, Mesquite, Nevada. You can contact this provider via phone number 7023462882. The mailing address for Bradley Redge Peterson is 61 N Willow St, Mesquite, Nevada. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley Redge Peterson |
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Address | 61 N Willow St, Mesquite, Nevada |
Phone Number | 7023462882 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1811058365 |
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Provider Enumeration Date | 2006-12-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 61 N Willow St |
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City | Mesquite |
State | Nevada (NV) |
Post Code | 890274785 |
Phone Number | 7023462882 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 5115 |
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 assigned to Bradley Redge Peterson by the Centers for Medicare & Medicaid Services?
The Bradley Redge Peterson has been issued the NPI (National Provider Identifier) 1811058365 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bradley Redge Peterson?
The Bradley Redge Peterson is situated at 61 N Willow St, in the city of Mesquite, state of NV, with the zip code 890274785.
What is Bradley Redge Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley Redge Peterson is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1811058365 assigned to Bradley Redge Peterson?
The Bradley Redge Peterson was issued its 1811058365 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bradley Redge Peterson most recently updated?
The details pertaining to the Bradley Redge Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.