Bradley Raymond Bendush in Indianapolis - General Practice
Bradley Raymond Bendush - NPI 1962510610
Bradley Raymond Bendush is a General Practice in Indianapolis, Indiana. Bradley Raymond Bendush practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Raymond Bendush is 1962510610. The last update date is 2010-12-30.
Bradley Raymond Bendush's current location address is 115 N Shortridge Rd, Indianapolis, Indiana. You can contact this provider via phone number 3173531062 and fax number 3173575999. The mailing address for Bradley Raymond Bendush is 115 N Shortridge Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Raymond Bendush |
|---|---|
| Address | 115 N Shortridge Rd, Indianapolis, Indiana |
| Phone Number | 3173531062 |
| Fax Number | 3173575999 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962510610 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | 115 N Shortridge Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462194908 |
| Phone Number | 3173531062 |
| Fax Number | 3173575999 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12008546 |
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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 |
|---|---|---|---|
| 8546 | IN | INDIANA |
Post Comment/ Review Below
What is the Bradley Raymond Bendush's 1962510610?
The Bradley Raymond Bendush's NPI (National Provider Identifier) Number is 1962510610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bradley Raymond Bendush is located?
The Bradley Raymond Bendush is situated at the following address: 115 N Shortridge Rd, Indianapolis, IN, 462194908.
What is the Bradley Raymond Bendush's area of specialization and corresponding taxonomy classification?
The Bradley Raymond Bendush's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1962510610 to Bradley Raymond Bendush?
The Bradley Raymond Bendush received its 1962510610 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the Bradley Raymond Bendush's information last updated?
The Bradley Raymond Bendush's information was last updated on 2010-12-30.