Bryce Allen Bray in Thief River Falls - General Practice

Bryce Allen Bray - NPI 1194878280

Bryce Allen Bray is a General Practice in Thief River Falls, Minnesota. Bryce Allen Bray practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryce Allen Bray is 1194878280. The last update date is 2007-07-08.

Bryce Allen Bray's current location address is 214 Labree Ave N, Thief River Falls, Minnesota. You can contact this provider via phone number 2186813233 and fax number 2186837535. The mailing address for Bryce Allen Bray is 214 Labree Ave N, Thief River Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryce Allen Bray
Address 214 Labree Ave N, Thief River Falls, Minnesota
Phone Number 2186813233
Fax Number 2186837535
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1194878280
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 214 Labree Ave N
City Thief River Falls
State Minnesota (MN)
Post Code 567012035
Phone Number 2186813233
Fax Number 2186837535

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9498
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 Bryce Allen Bray

What is the unique identifier code issued to Bryce Allen Bray by the Centers for Medicare & Medicaid Services (CMS)?

The Bryce Allen Bray has been assigned the NPI (National Provider Identifier) 1194878280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Bryce Allen Bray?

The Bryce Allen Bray is situated at 214 Labree Ave N, in the city of Thief River Falls, state of MN, with the zip code 567012035.

What is Bryce Allen Bray's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bryce Allen Bray's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194878280 to Bryce Allen Bray?

The Bryce Allen Bray received its 1194878280 assignment from the Centers for Medicare & Medicaid Services on 2007-01-19.

As of what date were the Bryce Allen Bray's details last updated?

The information pertaining to the Bryce Allen Bray, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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