Dennis Lyle Bradshaw in Kennewick - Dentist
Dennis Lyle Bradshaw - NPI 1508991951
Dennis Lyle Bradshaw is a Dentist in Kennewick, Washington. Dennis Lyle Bradshaw practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dennis Lyle Bradshaw is 1508991951. The last update date is 2022-04-28.
Dennis Lyle Bradshaw's current location address is 7405 W Grandridge Blvd Ste A, Kennewick, Washington. You can contact this provider via phone number 5095479549 and fax number 5095476604. The mailing address for Dennis Lyle Bradshaw is 7405 W Grandridge Blvd Ste A, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Lyle Bradshaw |
|---|---|
| Address | 7405 W Grandridge Blvd Ste A, Kennewick, Washington |
| Phone Number | 5095479549 |
| Fax Number | 5095476604 |
| Sole Proprietor | N |
| Credentials | D D S |
NPI Number Detail
| NPI Number | 1508991951 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
| Address | 7405 W Grandridge Blvd Ste A |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993366708 |
| Phone Number | 5095479549 |
| Fax Number | 5095476604 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6183 |
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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 identifier code assigned to Dennis Lyle Bradshaw by the Centers for Medicare & Medicaid Services?
The Dennis Lyle Bradshaw has been issued the NPI (National Provider Identifier) 1508991951 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dennis Lyle Bradshaw's facilities are situated?
The facilities of Dennis Lyle Bradshaw are physically located at the following address: 7405 W Grandridge Blvd Ste A, Kennewick, WA, 993366708.
What is Dennis Lyle Bradshaw's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dennis Lyle Bradshaw is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508991951 to Dennis Lyle Bradshaw?
The Dennis Lyle Bradshaw received its 1508991951 assignment from the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the Dennis Lyle Bradshaw's details last updated?
The information pertaining to the Dennis Lyle Bradshaw, including its address, specialty, and other details, was most recently updated on 2022-04-28.