Bradley Allen Bader in Tamms - General Practice
Bradley Allen Bader - NPI 1508986357
Bradley Allen Bader is a General Practice in Tamms, Illinois. Bradley Allen Bader practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Allen Bader is 1508986357. The last update date is 2020-06-17.
Bradley Allen Bader's current location address is 290 Railroad St, Tamms, Illinois. You can contact this provider via phone number 6187472391 and fax number 6187472371. The mailing address for Bradley Allen Bader is 290 Railroad St, Tamms, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Allen Bader |
|---|---|
| Address | 290 Railroad St, Tamms, Illinois |
| Phone Number | 6187472391 |
| Fax Number | 6187472371 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508986357 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-06-17 |
Provider Mailing Address Detail
| Address | 290 Railroad St |
|---|---|
| City | Tamms |
| State | Illinois (IL) |
| Post Code | 629885038 |
| Phone Number | 6187472391 |
| Fax Number | 6187472371 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14176 |
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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 |
|---|---|---|---|
| 402035307 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bradley Allen Bader by the Centers for Medicare & Medicaid Services?
The Bradley Allen Bader has been assigned the NPI (National Provider Identifier) 1508986357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Bradley Allen Bader is geographically located?
The Bradley Allen Bader is physically situated at the following location: 290 Railroad St, Tamms, IL, 629885038.
What is Bradley Allen Bader'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 Bradley Allen Bader is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508986357 to Bradley Allen Bader?
The Centers for Medicare & Medicaid Services assigned the 1508986357 to Bradley Allen Bader on 2007-03-29.
As of what date were the details pertaining to Bradley Allen Bader last refreshed?
The information related to the Bradley Allen Bader, including its address, specialty, and other relevant details, was last updated on 2020-06-17.
NPI Number: 1881683084
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