Bradley L Decounter Dds Ms Llc in Spokane - General Practice

Bradley L Decounter Dds Ms Llc - NPI 1922213289

Bradley L Decounter Dds Ms Llc is a General Practice in Spokane, Washington. Bradley L Decounter Dds Ms Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley L Decounter Dds Ms Llc is 1922213289. The last update date is 2020-08-22.

Bradley L Decounter Dds Ms Llc's current location address is 826 N Mullan Rd, Spokane, Washington. You can contact this provider via phone number 5099267431 and fax number 5099261359. The mailing address for Bradley L Decounter Dds Ms Llc is 826 N Mullan Rd, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bradley L Decounter Dds Ms Llc
Address 826 N Mullan Rd, Spokane, Washington
Phone Number 5099267431
Fax Number 5099261359
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST PR
Authorized Official Name Decounter Lon Bradley
Credentials DDS MS
Telephone Number 5099267431

NPI Number Detail

NPI Number 1922213289
Provider Enumeration Date 2007-05-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 826 N Mullan Rd
City Spokane
State Washington (WA)
Post Code 99206
Phone Number 5099267431
Fax Number 5099261359

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5922
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
5096706 WA --

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FAQs about Bradley L Decounter Dds Ms Llc

What is the unique identifier code issued to Bradley L Decounter Dds Ms Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Bradley L Decounter Dds Ms Llc has been assigned the NPI (National Provider Identifier) 1922213289. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Bradley L Decounter Dds Ms Llc located?

The Bradley L Decounter Dds Ms Llc is located at 826 N Mullan Rd, Spokane, WA 99206.

What is the area of specialization for Bradley L Decounter Dds Ms Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bradley L Decounter Dds Ms Llc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922213289 to Bradley L Decounter Dds Ms Llc?

The Centers for Medicare & Medicaid Services originally issued the 1922213289 to Bradley L Decounter Dds Ms Llc on 2007-05-11.

As of what date were the details related to Bradley L Decounter Dds Ms Llc most recently updated or revised?

The information pertaining to Bradley L Decounter Dds Ms Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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