Brad William Revering in Flower Mound - Dentist
Brad William Revering - NPI 1952400624
Brad William Revering is a Dentist in Flower Mound, Texas. Brad William Revering practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brad William Revering is 1952400624. The last update date is 2007-07-08.
Brad William Revering's current location address is 2240 Cross Timbers Rd, Flower Mound, Texas. You can contact this provider via phone number 9723558500 and fax number 9726919549. The mailing address for Brad William Revering is 2240 Cross Timbers Rd, Flower Mound, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad William Revering |
|---|---|
| Address | 2240 Cross Timbers Rd, Flower Mound, Texas |
| Phone Number | 9723558500 |
| Fax Number | 9726919549 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1952400624 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2240 Cross Timbers Rd |
|---|---|
| City | Flower Mound |
| State | Texas (TX) |
| Post Code | 75028 |
| Phone Number | 9723558500 |
| Fax Number | 9726919549 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18970 |
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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 Brad William Revering's unique identification number?
The Brad William Revering has been assigned the NPI (National Provider Identifier) Number 1952400624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Brad William Revering is located?
The Brad William Revering is situated at the following address: 2240 Cross Timbers Rd, Flower Mound, TX, 75028.
What is the Brad William Revering's specialty and taxonomy code?
The Brad William Revering's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1952400624 assigned to Brad William Revering?
The Brad William Revering was issued its 1952400624 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brad William Revering last refreshed?
The information related to the Brad William Revering, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1215930573
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