Bradley Lee Videen in Cambridge - Orthodontics And Dentofacial Orthopedics
Bradley Lee Videen - NPI 1407025521
Bradley Lee Videen is a Orthodontics And Dentofacial Orthopedics in Cambridge, Minnesota. Bradley Lee Videen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bradley Lee Videen is 1407025521. The last update date is 2012-01-06.
Bradley Lee Videen's current location address is 140 Birch St. N Ste. # 106, Cambridge, Minnesota. You can contact this provider via phone number 7636893134 and fax number 7636896609. The mailing address for Bradley Lee Videen is 140 Birch St. N Ste. # 106, Cambridge, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Lee Videen |
|---|---|
| Address | 140 Birch St. N Ste. # 106, Cambridge, Minnesota |
| Phone Number | 7636893134 |
| Fax Number | 7636896609 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1407025521 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 140 Birch St. N Ste. # 106 |
|---|---|
| City | Cambridge |
| State | Minnesota (MN) |
| Post Code | 55008 |
| Phone Number | 7636893134 |
| Fax Number | 7636896609 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8936 |
|
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 |
|---|---|---|---|
| 45-4079726 | MN | MEDICAL ASSISTANCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley Lee Videen by the Centers for Medicare & Medicaid Services?
The Bradley Lee Videen has been issued the NPI (National Provider Identifier) 1407025521 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Bradley Lee Videen located?
The Bradley Lee Videen is located at 140 Birch St. N Ste. # 106, Cambridge, MN 55008.
What is Bradley Lee Videen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Lee Videen is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407025521 to Bradley Lee Videen?
The Centers for Medicare & Medicaid Services assigned the 1407025521 to Bradley Lee Videen on 2008-02-22.
When was the information regarding Bradley Lee Videen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Lee Videen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-06.
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