Brad W Sundstrom Dmd in Chattanooga - Dentist

Brad W Sundstrom Dmd - NPI 1184762684

Brad W Sundstrom Dmd is a Dentist in Chattanooga, Tennessee. Brad W Sundstrom Dmd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brad W Sundstrom Dmd is 1184762684. The last update date is 2008-10-30.

Brad W Sundstrom Dmd's current location address is 7044 Lee Hwy, Chattanooga, Tennessee. You can contact this provider via phone number 4238940650 and fax number 4238940720. The mailing address for Brad W Sundstrom Dmd is 7044 Lee Hwy, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brad W Sundstrom Dmd
Address 7044 Lee Hwy, Chattanooga, Tennessee
Phone Number 4238940650
Fax Number 4238940720
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Sundstrom Walker Bradley
Credentials DMD
Telephone Number 4238940650

NPI Number Detail

NPI Number 1184762684
Provider Enumeration Date 2007-02-05
Last Updated Date 2008-10-30

Provider Mailing Address Detail

Address 7044 Lee Hwy
City Chattanooga
State Tennessee (TN)
Post Code 374211730
Phone Number 4238940650
Fax Number 4238940720

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D53493
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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FAQs about Brad W Sundstrom Dmd

What is the unique 10-digit identifier code assigned to Brad W Sundstrom Dmd by the Centers for Medicare & Medicaid Services?

The Brad W Sundstrom Dmd has been issued the NPI (National Provider Identifier) 1184762684 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Brad W Sundstrom Dmd?

The Brad W Sundstrom Dmd is physically situated at 7044 Lee Hwy, in the city of Chattanooga, state of TN, with the postal code 374211730.

What is Brad W Sundstrom Dmd'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 Brad W Sundstrom Dmd is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184762684 to Brad W Sundstrom Dmd?

The Centers for Medicare & Medicaid Services originally issued the 1184762684 to Brad W Sundstrom Dmd on 2007-02-05.

When was the information related to Brad W Sundstrom Dmd most recently updated or refreshed?

The details pertaining to the Brad W Sundstrom Dmd, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-30.

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