Jon P Bradrick in Cleveland - Oral And Maxillofacial Surgery
Jon P Bradrick - NPI 1477581908
Jon P Bradrick is a Oral And Maxillofacial Surgery in Cleveland, Ohio. Jon P Bradrick practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jon P Bradrick is 1477581908. The last update date is 2007-07-08.
Jon P Bradrick's current location address is 2500 Metrohealth Dr, Cleveland, Ohio. You can contact this provider via phone number 2167784488. The mailing address for Jon P Bradrick is 2500 Metrohealth Dr, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon P Bradrick |
|---|---|
| Address | 2500 Metrohealth Dr, Cleveland, Ohio |
| Phone Number | 2167784488 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477581908 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2500 Metrohealth Dr |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441091900 |
| Phone Number | 2167784488 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 30018571 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 696528 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jon P Bradrick by the Centers for Medicare & Medicaid Services?
The Jon P Bradrick has been assigned the NPI (National Provider Identifier) 1477581908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jon P Bradrick?
The Jon P Bradrick is situated at 2500 Metrohealth Dr, in the city of Cleveland, state of OH, with the zip code 441091900.
What is Jon P Bradrick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jon P Bradrick's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477581908 to Jon P Bradrick?
The Jon P Bradrick received its 1477581908 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date were the Jon P Bradrick's details last updated?
The information pertaining to the Jon P Bradrick, including its address, specialty, and other details, was most recently updated on 2007-07-08.