Bradley S Nydegger in Covelo - General Practice
Bradley S Nydegger - NPI 1396967782
Bradley S Nydegger is a General Practice in Covelo, California. Bradley S Nydegger practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley S Nydegger is 1396967782. The last update date is 2007-07-08.
Bradley S Nydegger's current location address is Po Box 247, Covelo, California. You can contact this provider via phone number 7079836404 and fax number 7079836184. The mailing address for Bradley S Nydegger is Po Box 247, Covelo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley S Nydegger |
|---|---|
| Address | Po Box 247, Covelo, California |
| Phone Number | 7079836404 |
| Fax Number | 7079836184 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1396967782 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 247 |
|---|---|
| City | Covelo |
| State | California (CA) |
| Post Code | 954280247 |
| Phone Number | 7079836404 |
| Fax Number | 7079836184 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 36970 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1066 | CA | PIN # | |
| 36970 | CA | LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley S Nydegger by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley S Nydegger has been assigned the NPI (National Provider Identifier) 1396967782. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Bradley S Nydegger's facilities are situated?
The facilities of Bradley S Nydegger are physically located at the following address: Po Box 247, Covelo, CA, 954280247.
What is Bradley S Nydegger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley S Nydegger is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396967782 to Bradley S Nydegger?
The Bradley S Nydegger received its 1396967782 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information related to Bradley S Nydegger most recently updated or refreshed?
The details pertaining to the Bradley S Nydegger, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.