Brad Edward Pezoldt in Modesto - Orthodontics And Dentofacial Orthopedics
Brad Edward Pezoldt - NPI 1669539292
Brad Edward Pezoldt is a Orthodontics And Dentofacial Orthopedics in Modesto, California. Brad Edward Pezoldt practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brad Edward Pezoldt is 1669539292. The last update date is 2009-08-11.
Brad Edward Pezoldt's current location address is 4320 Alsace Ln, Modesto, California. You can contact this provider via phone number 2095242988. The mailing address for Brad Edward Pezoldt is 4320 Alsace Ln, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Edward Pezoldt |
|---|---|
| Address | 4320 Alsace Ln, Modesto, California |
| Phone Number | 2095242988 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS MSD |
NPI Number Detail
| NPI Number | 1669539292 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2009-08-11 |
Provider Mailing Address Detail
| Address | 4320 Alsace Ln |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953568945 |
| Phone Number | 2095242988 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 41206 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the Brad Edward Pezoldt's unique identification number?
The Brad Edward Pezoldt has been assigned the NPI (National Provider Identifier) Number 1669539292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Brad Edward Pezoldt?
The Brad Edward Pezoldt is physically situated at 4320 Alsace Ln, in the city of Modesto, state of CA, with the postal code 953568945.
What is Brad Edward Pezoldt's area of expertise and its corresponding taxonomy classification?
The Brad Edward Pezoldt's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
When did Brad Edward Pezoldt receive its 1669539292 assignment?
The Brad Edward Pezoldt was assigned its 1669539292 on 2007-01-02, which is the date when this unique identifier was issued to the organization.
When was the information related to Brad Edward Pezoldt most recently updated or refreshed?
The details pertaining to the Brad Edward Pezoldt, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-11.