Bradley D Jarvis in Spokane - General Practice

Bradley D Jarvis - NPI 1245454727

Bradley D Jarvis is a General Practice in Spokane, Washington. Bradley D Jarvis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley D Jarvis is 1245454727. The last update date is 2007-07-09.

Bradley D Jarvis's current location address is 775 E Holland Ave, Spokane, Washington. You can contact this provider via phone number 5094642391 and fax number 5092320555. The mailing address for Bradley D Jarvis is 775 E Holland Ave, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley D Jarvis
Address 775 E Holland Ave, Spokane, Washington
Phone Number 5094642391
Fax Number 5092320555
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1245454727
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 775 E Holland Ave
City Spokane
State Washington (WA)
Post Code 992181257
Phone Number 5094642391
Fax Number 5092320555

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00008982
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
5038179 WA --
214144 WA LABOR & INDUSTRIES ID #

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FAQs about Bradley D Jarvis

What is the Bradley D Jarvis's 1245454727?

The Bradley D Jarvis's NPI (National Provider Identifier) Number is 1245454727. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bradley D Jarvis is physically located?

The Bradley D Jarvis is situated at the following address: 775 E Holland Ave, Spokane, WA 992181257.

What is the Bradley D Jarvis's area of specialization and corresponding taxonomy classification?

The Bradley D Jarvis'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 Centers for Medicare & Medicaid Services originally issue the 1245454727 to Bradley D Jarvis?

The Centers for Medicare & Medicaid Services originally issued the 1245454727 to Bradley D Jarvis on 2007-04-13.

When was the information related to Bradley D Jarvis most recently updated or refreshed?

The details pertaining to the Bradley D Jarvis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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