Daniel W Bradshaw in Johnson City - Orthodontics And Dentofacial Orthopedics
Daniel W Bradshaw - NPI 1861405821
Daniel W Bradshaw is a Orthodontics And Dentofacial Orthopedics in Johnson City, Tennessee. Daniel W Bradshaw practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Daniel W Bradshaw is 1861405821. The last update date is 2007-07-08.
Daniel W Bradshaw's current location address is 300 W Watauga Ave, Johnson City, Tennessee. You can contact this provider via phone number 4239298111 and fax number 4239298111. The mailing address for Daniel W Bradshaw is 300 W Watauga Ave, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Daniel W Bradshaw |
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Address | 300 W Watauga Ave, Johnson City, Tennessee |
Phone Number | 4239298111 |
Fax Number | 4239298111 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1861405821 |
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Provider Enumeration Date | 2006-08-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 300 W Watauga Ave |
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City | Johnson City |
State | Tennessee (TN) |
Post Code | 376045549 |
Phone Number | 4239298111 |
Fax Number | 4239298111 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 7691 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
16639 | TN | TENNCARE/DORAL DENAL |
Post Comment/ Review Below
What is the unique identification code assigned to Daniel W Bradshaw by the Centers for Medicare & Medicaid Services?
The Daniel W Bradshaw has been issued the NPI (National Provider Identifier) 1861405821. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Daniel W Bradshaw's facilities are geographically located?
The facilities of Daniel W Bradshaw are physically situated at the following location: 300 W Watauga Ave, Johnson City, TN, 376045549.
What is the Daniel W Bradshaw's area of specialization and corresponding taxonomy classification?
The Daniel W Bradshaw's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Daniel W Bradshaw receive the assignment of its 1861405821 from the Centers for Medicare & Medicaid Services?
The Daniel W Bradshaw was issued its 1861405821 by the Centers for Medicare & Medicaid Services on 2006-08-14.
When was the information regarding Daniel W Bradshaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Daniel W Bradshaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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