Ryan L Brackett in Yukon - Pediatric Dentistry
Ryan L Brackett - NPI 1982704417
Ryan L Brackett is a Pediatric Dentistry in Yukon, Oklahoma. Ryan L Brackett practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ryan L Brackett is 1982704417. The last update date is 2009-08-17.
Ryan L Brackett's current location address is 1300 Crop Cir, Yukon, Oklahoma. You can contact this provider via phone number 4053544545 and fax number 4053544542. The mailing address for Ryan L Brackett is 1300 Crop Cir, Yukon, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan L Brackett |
|---|---|
| Address | 1300 Crop Cir, Yukon, Oklahoma |
| Phone Number | 4053544545 |
| Fax Number | 4053544542 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1982704417 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2009-08-17 |
Provider Mailing Address Detail
| Address | 1300 Crop Cir |
|---|---|
| City | Yukon |
| State | Oklahoma (OK) |
| Post Code | 730994945 |
| Phone Number | 4053544545 |
| Fax Number | 4053544542 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 72 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200018800A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ryan L Brackett by the Centers for Medicare & Medicaid Services?
The Ryan L Brackett has been issued the NPI (National Provider Identifier) 1982704417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ryan L Brackett is physically located?
The Ryan L Brackett is physically situated at the following address: 1300 Crop Cir, Yukon, OK, 730994945.
What is Ryan L Brackett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ryan L Brackett is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Ryan L Brackett receive the assignment of its 1982704417 from the Centers for Medicare & Medicaid Services?
The Ryan L Brackett was issued its 1982704417 by the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the information regarding Ryan L Brackett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ryan L Brackett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-17.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA