Bradley Glenn Fawcett in Indianapolis - General Practice

Bradley Glenn Fawcett - NPI 1023181237

Bradley Glenn Fawcett is a General Practice in Indianapolis, Indiana. Bradley Glenn Fawcett practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Glenn Fawcett is 1023181237. The last update date is 2007-07-08.

Bradley Glenn Fawcett's current location address is 2440 Lake Circle Dr, Indianapolis, Indiana. You can contact this provider via phone number 3178720800 and fax number 3178721224. The mailing address for Bradley Glenn Fawcett is 2440 Lake Circle Dr, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Glenn Fawcett
Address 2440 Lake Circle Dr, Indianapolis, Indiana
Phone Number 3178720800
Fax Number 3178721224
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1023181237
Provider Enumeration Date 2006-11-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2440 Lake Circle Dr
City Indianapolis
State Indiana (IN)
Post Code 462684219
Phone Number 3178720800
Fax Number 3178721224

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12009858
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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FAQs about Bradley Glenn Fawcett

What is the unique 10-digit identifier code assigned to Bradley Glenn Fawcett by the Centers for Medicare & Medicaid Services?

The Bradley Glenn Fawcett has been issued the NPI (National Provider Identifier) 1023181237 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Bradley Glenn Fawcett's facilities are geographically located?

The facilities of Bradley Glenn Fawcett are physically situated at the following location: 2440 Lake Circle Dr, Indianapolis, IN, 462684219.

What is the Bradley Glenn Fawcett's specialty and taxonomy code?

The Bradley Glenn Fawcett's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Bradley Glenn Fawcett receive the assignment of its 1023181237 from the Centers for Medicare & Medicaid Services?

The Bradley Glenn Fawcett was issued its 1023181237 by the Centers for Medicare & Medicaid Services on 2006-11-16.

As of what date were the details pertaining to Bradley Glenn Fawcett last refreshed?

The information related to the Bradley Glenn Fawcett, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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