Bradley G Angell, Dmd, Ms in Louisville - Orthodontics And Dentofacial Orthopedics
Bradley G Angell, Dmd, Ms - NPI 1619045739
Bradley G Angell, Dmd, Ms is a Orthodontics And Dentofacial Orthopedics in Louisville, Kentucky. Bradley G Angell, Dmd, Ms practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bradley G Angell, Dmd, Ms is 1619045739. The last update date is 2020-08-22.
Bradley G Angell, Dmd, Ms's current location address is 10412 Shelbyville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024253350 and fax number 5024253789. The mailing address for Bradley G Angell, Dmd, Ms is 10412 Shelbyville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley G Angell, Dmd, Ms |
|---|---|
| Address | 10412 Shelbyville Rd, Louisville, Kentucky |
| Phone Number | 5024253350 |
| Fax Number | 5024253789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Angell G Bradley |
| Credentials | DMD, MS |
| Telephone Number | 5024253350 |
NPI Number Detail
| NPI Number | 1619045739 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10412 Shelbyville Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402233120 |
| Phone Number | 5024253350 |
| Fax Number | 5024253789 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4934 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 506626 | KY | UCCI | |
| 1695639 | IN | UCCI |
Post Comment/ Review Below
What is the unique identification code assigned to Bradley G Angell, Dmd, Ms by the Centers for Medicare & Medicaid Services?
The Bradley G Angell, Dmd, Ms has been issued the NPI (National Provider Identifier) 1619045739. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bradley G Angell, Dmd, Ms located?
The Bradley G Angell, Dmd, Ms is located at 10412 Shelbyville Rd, Louisville, KY 402233120.
What is the area of specialization for Bradley G Angell, Dmd, Ms, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley G Angell, Dmd, Ms is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did Bradley G Angell, Dmd, Ms receive its 1619045739 assignment from the Centers for Medicare & Medicaid Services?
The Bradley G Angell, Dmd, Ms was assigned its 1619045739 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bradley G Angell, Dmd, Ms, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley G Angell, Dmd, Ms, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.