Jarad Joseph Braddy in Southaven - General Practice
Jarad Joseph Braddy - NPI 1831119940
Jarad Joseph Braddy is a General Practice in Southaven, Mississippi. Jarad Joseph Braddy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jarad Joseph Braddy is 1831119940. The last update date is 2007-07-08.
Jarad Joseph Braddy's current location address is 8747 Northwest Dr, Southaven, Mississippi. You can contact this provider via phone number 6623930781 and fax number 6623420750. The mailing address for Jarad Joseph Braddy is 8747 Northwest Dr, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jarad Joseph Braddy |
|---|---|
| Address | 8747 Northwest Dr, Southaven, Mississippi |
| Phone Number | 6623930781 |
| Fax Number | 6623420750 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1831119940 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8747 Northwest Dr |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386712409 |
| Phone Number | 6623930781 |
| Fax Number | 6623420750 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3341-05 |
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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 |
|---|---|---|---|
| 60134 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jarad Joseph Braddy by the Centers for Medicare & Medicaid Services?
The Jarad Joseph Braddy has been issued the NPI (National Provider Identifier) 1831119940 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 Jarad Joseph Braddy's facilities are geographically located?
The facilities of Jarad Joseph Braddy are physically situated at the following location: 8747 Northwest Dr, Southaven, MS, 386712409.
What is Jarad Joseph Braddy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jarad Joseph Braddy is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1831119940 assigned to Jarad Joseph Braddy?
The Jarad Joseph Braddy was issued its 1831119940 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jarad Joseph Braddy last refreshed?
The information related to the Jarad Joseph Braddy, including its address, specialty, and other relevant details, was last updated on 2007-07-08.