Bradley Fuller is a General Practice in Gresham, Oregon. Bradley Fuller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Fuller is 1073730784. The last update date is 2007-07-08.
Bradley Fuller's current location address is 2458 Se Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5036668045. The mailing address for Bradley Fuller is 2458 Se Burnside Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Fuller |
|---|---|
| Address | 2458 Se Burnside Rd, Gresham, Oregon |
| Phone Number | 5036668045 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1073730784 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2458 Se Burnside Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970801247 |
| Phone Number | 5036668045 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7229 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bradley Fuller by the Centers for Medicare & Medicaid Services?
The Bradley Fuller has been assigned the NPI (National Provider Identifier) 1073730784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bradley Fuller is physically located?
The Bradley Fuller is physically situated at the following address: 2458 Se Burnside Rd, Gresham, OR, 970801247.
What is Bradley Fuller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley Fuller is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Bradley Fuller receive the assignment of its 1073730784 from the Centers for Medicare & Medicaid Services?
The Bradley Fuller was issued its 1073730784 by the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the information related to Bradley Fuller most recently updated or refreshed?
The details pertaining to the Bradley Fuller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY