Bradley Edward Devries in Salt Lake City - Dentist
Bradley Edward Devries - NPI 1568624690
Bradley Edward Devries is a Dentist in Salt Lake City, Utah. Bradley Edward Devries practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Edward Devries is 1568624690. The last update date is 2008-06-30.
Bradley Edward Devries's current location address is 433 Serenity Oak Ln Unit B, Salt Lake City, Utah. You can contact this provider via phone number 8016943106. The mailing address for Bradley Edward Devries is 433 Serenity Oak Ln Unit B, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Edward Devries |
|---|---|
| Address | 433 Serenity Oak Ln Unit B, Salt Lake City, Utah |
| Phone Number | 8016943106 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1568624690 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 433 Serenity Oak Ln Unit B |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841072300 |
| Phone Number | 8016943106 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6945665-9923 |
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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 10-digit identification code assigned to Bradley Edward Devries by the Centers for Medicare & Medicaid Services?
The Bradley Edward Devries has been issued the NPI (National Provider Identifier) 1568624690, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley Edward Devries's physical address?
The Bradley Edward Devries is physically located at 433 Serenity Oak Ln Unit B, in the city of Salt Lake City, UT, with the postal code 841072300.
What is the area of specialization for Bradley Edward Devries, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley Edward Devries is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1568624690 assigned to Bradley Edward Devries?
The Bradley Edward Devries was issued its 1568624690 on 2008-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bradley Edward Devries most recently updated or revised?
The details related to Bradley Edward Devries, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY