Bradley James Vance in Houston - Pediatric Dentistry
Bradley James Vance - NPI 1194833897
Bradley James Vance is a Pediatric Dentistry in Houston, Texas. Bradley James Vance practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bradley James Vance is 1194833897. The last update date is 2011-01-03.
Bradley James Vance's current location address is 6655 Travis St, Houston, Texas. You can contact this provider via phone number 7135008220 and fax number 7135008210. The mailing address for Bradley James Vance is 6655 Travis St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley James Vance |
|---|---|
| Address | 6655 Travis St, Houston, Texas |
| Phone Number | 7135008220 |
| Fax Number | 7135008210 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194833897 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 6655 Travis St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770301312 |
| Phone Number | 7135008220 |
| Fax Number | 7135008210 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18495 |
|
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 |
|---|---|---|---|
| 2121360-01 | TX | -- | |
| M927 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley James Vance by the Centers for Medicare & Medicaid Services?
The Bradley James Vance has been assigned the NPI (National Provider Identifier) 1194833897. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradley James Vance's physical address?
The Bradley James Vance is physically located at 6655 Travis St, in the city of Houston, TX, with the postal code 770301312.
What is Bradley James Vance's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley James Vance is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194833897 to Bradley James Vance?
The Centers for Medicare & Medicaid Services originally issued the 1194833897 to Bradley James Vance on 2006-08-25.
As of what date were the details pertaining to Bradley James Vance last refreshed?
The information related to the Bradley James Vance, including its address, specialty, and other relevant details, was last updated on 2011-01-03.
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