Kenneth Wayne Bradshaw in Palm Beach Gardens - Endodontics
Kenneth Wayne Bradshaw - NPI 1225157977
Kenneth Wayne Bradshaw is a Endodontics in Palm Beach Gardens, Florida. Kenneth Wayne Bradshaw practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kenneth Wayne Bradshaw is 1225157977. The last update date is 2007-07-08.
Kenneth Wayne Bradshaw's current location address is 11211 Prosperity Farms Rd, Palm Beach Gardens, Florida. You can contact this provider via phone number 5616308900. The mailing address for Kenneth Wayne Bradshaw is 11211 Prosperity Farms Rd, Palm Beach Gardens, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Bradshaw |
|---|---|
| Address | 11211 Prosperity Farms Rd, Palm Beach Gardens, Florida |
| Phone Number | 5616308900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225157977 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11211 Prosperity Farms Rd |
|---|---|
| City | Palm Beach Gardens |
| State | Florida (FL) |
| Post Code | 334103446 |
| Phone Number | 5616308900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN13872 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Kenneth Wayne Bradshaw by the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Bradshaw has been issued the NPI (National Provider Identifier) 1225157977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Wayne Bradshaw located?
The Kenneth Wayne Bradshaw is located at 11211 Prosperity Farms Rd, Palm Beach Gardens, FL 334103446.
What is Kenneth Wayne Bradshaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Wayne Bradshaw's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225157977 to Kenneth Wayne Bradshaw?
The Kenneth Wayne Bradshaw received its 1225157977 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date was the information pertaining to Kenneth Wayne Bradshaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Wayne Bradshaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.