Bradley Edholm King in Bismarck - General Practice

Bradley Edholm King - NPI 1174633036

Bradley Edholm King is a General Practice in Bismarck, North Dakota. Bradley Edholm King practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Edholm King is 1174633036. The last update date is 2007-07-08.

Bradley Edholm King's current location address is 737 Munich Dr, Bismarck, North Dakota. You can contact this provider via phone number 7012587579. The mailing address for Bradley Edholm King is 737 Munich Dr, Bismarck, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Edholm King
Address 737 Munich Dr, Bismarck, North Dakota
Phone Number 7012587579
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1174633036
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 737 Munich Dr
City Bismarck
State North Dakota (ND)
Post Code 585047042
Phone Number 7012587579
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1663
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41242 ND --

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FAQs about Bradley Edholm King

What is the unique identifier code issued to Bradley Edholm King by the Centers for Medicare & Medicaid Services (CMS)?

The Bradley Edholm King has been assigned the NPI (National Provider Identifier) 1174633036. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Bradley Edholm King's facilities are geographically located?

The facilities of Bradley Edholm King are physically situated at the following location: 737 Munich Dr, Bismarck, ND, 585047042.

What is Bradley Edholm King's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bradley Edholm King is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When was the Bradley Edholm King's 1174633036 issued?

The Bradley Edholm King's 1174633036 was issued on 2006-08-30.

When was the information regarding Bradley Edholm King most recently updated?

The details pertaining to the Bradley Edholm King, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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