Bradley Duane Bourcy in Escondido - Periodontics
Bradley Duane Bourcy - NPI 1841213253
Bradley Duane Bourcy is a Periodontics in Escondido, California. Bradley Duane Bourcy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bradley Duane Bourcy is 1841213253. The last update date is 2007-07-08.
Bradley Duane Bourcy's current location address is 850 E Grand Ave, Escondido, California. You can contact this provider via phone number 7607414061. The mailing address for Bradley Duane Bourcy is 850 E Grand Ave, Escondido, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Duane Bourcy |
|---|---|
| Address | 850 E Grand Ave, Escondido, California |
| Phone Number | 7607414061 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1841213253 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 850 E Grand Ave |
|---|---|
| City | Escondido |
| State | California (CA) |
| Post Code | 920253435 |
| Phone Number | 7607414061 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 42637 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique provider identifier assigned to Bradley Duane Bourcy?
The Bradley Duane Bourcy has been issued the NPI (National Provider Identifier) 1841213253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradley Duane Bourcy is located?
The Bradley Duane Bourcy is situated at the following address: 850 E Grand Ave, Escondido, CA, 920253435.
What is Bradley Duane Bourcy'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 Duane Bourcy is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When did Bradley Duane Bourcy receive its 1841213253 assignment?
The Bradley Duane Bourcy was assigned its 1841213253 on 2006-07-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Bradley Duane Bourcy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Duane Bourcy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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