Mark Larsen Bradford in Chico - General Practice
Mark Larsen Bradford - NPI 1477555613
Mark Larsen Bradford is a General Practice in Chico, California. Mark Larsen Bradford practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Larsen Bradford is 1477555613. The last update date is 2007-07-11.
Mark Larsen Bradford's current location address is 2545 Ceanothus Ave, Chico, California. You can contact this provider via phone number 5303427974. The mailing address for Mark Larsen Bradford is 2545 Ceanothus Ave, Chico, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Larsen Bradford |
|---|---|
| Address | 2545 Ceanothus Ave, Chico, California |
| Phone Number | 5303427974 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477555613 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 2545 Ceanothus Ave |
|---|---|
| City | Chico |
| State | California (CA) |
| Post Code | 9597376110 |
| Phone Number | 5303427974 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 36646 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Mark Larsen Bradford's 1477555613?
The Mark Larsen Bradford's NPI (National Provider Identifier) Number is 1477555613. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Larsen Bradford?
The Mark Larsen Bradford is situated at 2545 Ceanothus Ave, in the city of Chico, state of CA, with the zip code 9597376110.
What is Mark Larsen Bradford's area of expertise and its corresponding taxonomy classification?
The Mark Larsen Bradford's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1477555613 to Mark Larsen Bradford?
The Centers for Medicare & Medicaid Services assigned the 1477555613 to Mark Larsen Bradford on 2005-06-01.
As of what date was the information regarding Mark Larsen Bradford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Larsen Bradford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-11.