Richard A. Brazon Dds in Scranton - Dentist
Richard A. Brazon Dds - NPI 1053590547
Richard A. Brazon Dds is a Dentist in Scranton, Pennsylvania. Richard A. Brazon Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard A. Brazon Dds is 1053590547. The last update date is 2007-10-31.
Richard A. Brazon Dds's current location address is 2611 Pittston Ave, Scranton, Pennsylvania. You can contact this provider via phone number 5703472046. The mailing address for Richard A. Brazon Dds is 2611 Pittston Ave, Scranton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Richard A. Brazon Dds |
|---|---|
| Address | 2611 Pittston Ave, Scranton, Pennsylvania |
| Phone Number | 5703472046 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brazon Alan Richard |
| Credentials | DDS |
| Telephone Number | 5703472046 |
NPI Number Detail
| NPI Number | 1053590547 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 2611 Pittston Ave |
|---|---|
| City | Scranton |
| State | Pennsylvania (PA) |
| Post Code | 185053217 |
| Phone Number | 5703472046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS021659L |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14987280001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard A. Brazon Dds by the Centers for Medicare & Medicaid Services?
The Richard A. Brazon Dds has been assigned the NPI (National Provider Identifier) 1053590547 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 Richard A. Brazon Dds's physical address?
The Richard A. Brazon Dds is physically located at 2611 Pittston Ave, in the city of Scranton, PA, with the postal code 185053217.
What is Richard A. Brazon Dds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard A. Brazon Dds is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Richard A. Brazon Dds receive its 1053590547 assignment from the Centers for Medicare & Medicaid Services?
The Richard A. Brazon Dds was assigned its 1053590547 on 2007-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard A. Brazon Dds most recently updated or revised?
The information pertaining to Richard A. Brazon Dds, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-31.