Brady Clarke Mcdonald in Olympia - Dentist
Brady Clarke Mcdonald - NPI 1508935115
Brady Clarke Mcdonald is a Dentist in Olympia, Washington. Brady Clarke Mcdonald practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brady Clarke Mcdonald is 1508935115. The last update date is 2007-07-08.
Brady Clarke Mcdonald's current location address is 1205 Harrison Ave Nw, Olympia, Washington. You can contact this provider via phone number 3603524008 and fax number 3605340479. The mailing address for Brady Clarke Mcdonald is 1205 Harrison Ave Nw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brady Clarke Mcdonald |
|---|---|
| Address | 1205 Harrison Ave Nw, Olympia, Washington |
| Phone Number | 3603524008 |
| Fax Number | 3605340479 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508935115 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1205 Harrison Ave Nw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985025494 |
| Phone Number | 3603524008 |
| Fax Number | 3605340479 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00010554 |
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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 Brady Clarke Mcdonald by the Centers for Medicare & Medicaid Services?
The Brady Clarke Mcdonald has been issued the NPI (National Provider Identifier) 1508935115 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brady Clarke Mcdonald is located?
The Brady Clarke Mcdonald is situated at the following address: 1205 Harrison Ave Nw, Olympia, WA, 985025494.
What is Brady Clarke Mcdonald'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 Brady Clarke Mcdonald 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 assign the 1508935115 to Brady Clarke Mcdonald?
The Centers for Medicare & Medicaid Services assigned the 1508935115 to Brady Clarke Mcdonald on 2006-11-07.
As of what date were the details related to Brady Clarke Mcdonald most recently updated or revised?
The information pertaining to Brady Clarke Mcdonald, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA