Bradley Knight Dunn in Vandalia - General Practice
Bradley Knight Dunn - NPI 1619042165
Bradley Knight Dunn is a General Practice in Vandalia, Illinois. Bradley Knight Dunn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Knight Dunn is 1619042165. The last update date is 2007-07-08.
Bradley Knight Dunn's current location address is 2102 W. Randolph St., Vandalia, Illinois. You can contact this provider via phone number 6182834900 and fax number 6182834963. The mailing address for Bradley Knight Dunn is 2102 W. Randolph St., Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Knight Dunn |
|---|---|
| Address | 2102 W. Randolph St., Vandalia, Illinois |
| Phone Number | 6182834900 |
| Fax Number | 6182834963 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1619042165 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2102 W. Randolph St. |
|---|---|
| City | Vandalia |
| State | Illinois (IL) |
| Post Code | 624711973 |
| Phone Number | 6182834900 |
| Fax Number | 6182834963 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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What is the unique 10-digit identification code assigned to Bradley Knight Dunn by the Centers for Medicare & Medicaid Services?
The Bradley Knight Dunn has been issued the NPI (National Provider Identifier) 1619042165, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradley Knight Dunn?
The Bradley Knight Dunn is physically situated at 2102 W. Randolph St., in the city of Vandalia, state of IL, with the postal code 624711973.
What is Bradley Knight Dunn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley Knight Dunn is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Bradley Knight Dunn receive its 1619042165 assignment?
The Bradley Knight Dunn was assigned its 1619042165 on 2006-11-21, which is the date when this unique identifier was issued to the organization.
As of what date were the Bradley Knight Dunn's details last updated?
The information pertaining to the Bradley Knight Dunn, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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