Lise Bradley in Ballston Spa - General Practice
Lise Bradley - NPI 1326100397
Lise Bradley is a General Practice in Ballston Spa, New York. Lise Bradley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lise Bradley is 1326100397. The last update date is 2007-07-08.
Lise Bradley's current location address is 100 Saratoga Village Blvd, Ballston Spa, New York. You can contact this provider via phone number 5188999783 and fax number 5188994007. The mailing address for Lise Bradley is 100 Saratoga Village Blvd, Ballston Spa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lise Bradley |
|---|---|
| Address | 100 Saratoga Village Blvd, Ballston Spa, New York |
| Phone Number | 5188999783 |
| Fax Number | 5188994007 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326100397 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Saratoga Village Blvd |
|---|---|
| City | Ballston Spa |
| State | New York (NY) |
| Post Code | 120203737 |
| Phone Number | 5188999783 |
| Fax Number | 5188994007 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 040056-1 |
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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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What is the unique 10-digit identification code issued to Lise Bradley by the Centers for Medicare & Medicaid Services?
The Lise Bradley has been assigned the NPI (National Provider Identifier) 1326100397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lise Bradley is geographically located?
The Lise Bradley is physically situated at the following location: 100 Saratoga Village Blvd, Ballston Spa, NY, 120203737.
What is the Lise Bradley's specialty and taxonomy code?
The Lise Bradley's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Lise Bradley receive the assignment of its 1326100397 from the Centers for Medicare & Medicaid Services?
The Lise Bradley was issued its 1326100397 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the information regarding Lise Bradley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lise Bradley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.