Bradley Matthew Farrow in Thompsons Station - Pediatric Dentistry
Bradley Matthew Farrow - NPI 1124195250
Bradley Matthew Farrow is a Pediatric Dentistry in Thompsons Station, Tennessee. Bradley Matthew Farrow practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bradley Matthew Farrow is 1124195250. The last update date is 2010-04-15.
Bradley Matthew Farrow's current location address is 4720 Traders Way, Thompsons Station, Tennessee. You can contact this provider via phone number 6155951559 and fax number 6155959945. The mailing address for Bradley Matthew Farrow is 4720 Traders Way, Thompsons Station, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Matthew Farrow |
|---|---|
| Address | 4720 Traders Way, Thompsons Station, Tennessee |
| Phone Number | 6155951559 |
| Fax Number | 6155959945 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124195250 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2010-04-15 |
Provider Mailing Address Detail
| Address | 4720 Traders Way |
|---|---|
| City | Thompsons Station |
| State | Tennessee (TN) |
| Post Code | 371795366 |
| Phone Number | 6155951559 |
| Fax Number | 6155959945 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN012381 |
|
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 |
|---|---|---|---|
| 100916 | GA | AVESIS MEDICAID | |
| 1516786 | TN | -- | |
| 9183408 | GA | DORAL MEDICAID | |
| 1516786 | TN | TENNCARE | |
| 605327619A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Matthew Farrow?
The Bradley Matthew Farrow has been issued the NPI (National Provider Identifier) 1124195250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Bradley Matthew Farrow is physically located?
The Bradley Matthew Farrow is physically situated at the following address: 4720 Traders Way, Thompsons Station, TN, 371795366.
What is Bradley Matthew Farrow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Matthew Farrow's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Bradley Matthew Farrow receive its 1124195250 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Matthew Farrow was assigned its 1124195250 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the Bradley Matthew Farrow's details last updated?
The information pertaining to the Bradley Matthew Farrow, including its address, specialty, and other details, was most recently updated on 2010-04-15.
NPI Number: 1548269533
Address: 19300 S Hamilton Ave Ste 110-111, Gardena, CA
NPI Number: 1740282821
Address: 3707 E Southern Ave, Mesa, AZ
NPI Number: 1497748743
Address: 1324 Lakeland Hills Blvd, Lakeland, FL