Bradley Vergien is a Dentist in Gallup, New Mexico. Bradley Vergien practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Vergien is 1790841765. The last update date is 2010-05-20.
Bradley Vergien's current location address is 1600 Milda St, Gallup, New Mexico. You can contact this provider via phone number 5058799191. The mailing address for Bradley Vergien is 1600 Milda St, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Vergien |
|---|---|
| Address | 1600 Milda St, Gallup, New Mexico |
| Phone Number | 5058799191 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790841765 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2010-05-20 |
Provider Mailing Address Detail
| Address | 1600 Milda St |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873016117 |
| Phone Number | 5058799191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD1926 |
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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 provider identifier assigned to Bradley Vergien?
The Bradley Vergien has been issued the NPI (National Provider Identifier) 1790841765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bradley Vergien's facilities are geographically located?
The facilities of Bradley Vergien are physically situated at the following location: 1600 Milda St, Gallup, NM, 873016117.
What is Bradley Vergien's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley Vergien's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Bradley Vergien receive its 1790841765?
The Bradley Vergien was issued its 1790841765 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Bradley Vergien most recently updated?
The details pertaining to the Bradley Vergien, including its address, specialty, and other relevant information, were last refreshed on 2010-05-20.
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