Bradley William Renehan in Colorado Springs - Oral And Maxillofacial Surgery
Bradley William Renehan - NPI 1255333720
Bradley William Renehan is a Oral And Maxillofacial Surgery in Colorado Springs, Colorado. Bradley William Renehan practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bradley William Renehan is 1255333720. The last update date is 2008-03-21.
Bradley William Renehan's current location address is 640 Southpointe Ct, Colorado Springs, Colorado. You can contact this provider via phone number 7195406350 and fax number 7195279487. The mailing address for Bradley William Renehan is 640 Southpointe Ct, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley William Renehan |
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Address | 640 Southpointe Ct, Colorado Springs, Colorado |
Phone Number | 7195406350 |
Fax Number | 7195279487 |
Sole Proprietor | Y |
Credentials | M.D.DDS |
NPI Number Detail
NPI Number | 1255333720 |
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Provider Enumeration Date | 2005-08-12 |
Last Updated Date | 2008-03-21 |
Provider Mailing Address Detail
Address | 640 Southpointe Ct |
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City | Colorado Springs |
State | Colorado (CO) |
Post Code | 809063856 |
Phone Number | 7195406350 |
Fax Number | 7195279487 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 8508 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
29054842 | CO | -- |
Post Comment/ Review Below
What is the Bradley William Renehan's 1255333720?
The Bradley William Renehan's NPI (National Provider Identifier) Number is 1255333720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bradley William Renehan located?
The Bradley William Renehan is located at 640 Southpointe Ct, Colorado Springs, CO 809063856.
What is the Bradley William Renehan's specialty and taxonomy code?
The Bradley William Renehan's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Bradley William Renehan receive its 1255333720 assignment from the Centers for Medicare & Medicaid Services?
The Bradley William Renehan was assigned its 1255333720 by the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the Bradley William Renehan's information last updated?
The Bradley William Renehan's information was last updated on 2008-03-21.
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