Bradford Paul O'Brien in Leavenworth - General Practice

Bradford Paul O'Brien - NPI 1124002332

Bradford Paul O'Brien is a General Practice in Leavenworth, Washington. Bradford Paul O'Brien practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradford Paul O'Brien is 1124002332. The last update date is 2007-07-09.

Bradford Paul O'Brien's current location address is 321 9th St, Leavenworth, Washington. You can contact this provider via phone number 5095485415 and fax number 5095482434. The mailing address for Bradford Paul O'Brien is 321 9th St, Leavenworth, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradford Paul O'Brien
Address 321 9th St, Leavenworth, Washington
Phone Number 5095485415
Fax Number 5095482434
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1124002332
Provider Enumeration Date 2005-12-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 321 9th St
City Leavenworth
State Washington (WA)
Post Code 988261464
Phone Number 5095485415
Fax Number 5095482434

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00007080
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
5036371 WA --
57080 VA WDS PROVIDER NUMBER
LABOR AND INDUS WA L&I

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FAQs about Bradford Paul O'Brien

What is the unique identification code assigned to Bradford Paul O'Brien by the Centers for Medicare & Medicaid Services?

The Bradford Paul O'Brien has been issued the NPI (National Provider Identifier) 1124002332. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bradford Paul O'Brien is physically located?

The Bradford Paul O'Brien is situated at the following address: 321 9Th St, Leavenworth, WA 988261464.

What is Bradford Paul O'Brien's area of expertise and its corresponding taxonomy classification?

The Bradford Paul O'Brien's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Bradford Paul O'Brien receive its 1124002332 assignment from the Centers for Medicare & Medicaid Services?

The Bradford Paul O'Brien was assigned its 1124002332 by the Centers for Medicare & Medicaid Services on 2005-12-01.

As of what date were the details pertaining to Bradford Paul O'Brien last refreshed?

The information related to the Bradford Paul O'Brien, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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