Brad J Wall is a General Practice in Missoula, Montana. Brad J Wall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brad J Wall is 1619072444. The last update date is 2007-07-08.
Brad J Wall's current location address is 1001 Sw Higgins, Missoula, Montana. You can contact this provider via phone number 4067286068 and fax number 4068290868. The mailing address for Brad J Wall is 1001 Sw Higgins, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad J Wall |
|---|---|
| Address | 1001 Sw Higgins, Missoula, Montana |
| Phone Number | 4067286068 |
| Fax Number | 4068290868 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1619072444 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 Sw Higgins |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 59803 |
| Phone Number | 4067286068 |
| Fax Number | 4068290868 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | MT1999 |
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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 |
|---|---|---|---|
| 112242 | MT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brad J Wall?
The Brad J Wall has been issued the NPI (National Provider Identifier) 1619072444 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Brad J Wall's physical address?
The Brad J Wall is physically located at 1001 Sw Higgins, in the city of Missoula, MT, with the postal code 59803.
What is the Brad J Wall's area of specialization and corresponding taxonomy classification?
The Brad J Wall'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 Brad J Wall receive its 1619072444 assignment from the Centers for Medicare & Medicaid Services?
The Brad J Wall was assigned its 1619072444 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information pertaining to Brad J Wall most recently updated or revised?
The details related to Brad J Wall, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.