Brent J. Bradley in Rapid City - Pediatric Dentistry
Brent J. Bradley - NPI 1124088166
Brent J. Bradley is a Pediatric Dentistry in Rapid City, South Dakota. Brent J. Bradley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent J. Bradley is 1124088166. The last update date is 2007-08-28.
Brent J. Bradley's current location address is 700 Sheridan Lake Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053413068. The mailing address for Brent J. Bradley is 700 Sheridan Lake Rd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent J. Bradley |
|---|---|
| Address | 700 Sheridan Lake Rd, Rapid City, South Dakota |
| Phone Number | 6053413068 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1124088166 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 700 Sheridan Lake Rd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577022407 |
| Phone Number | 6053413068 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | M864 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brent J. Bradley by the Centers for Medicare & Medicaid Services?
The Brent J. Bradley has been issued the NPI (National Provider Identifier) 1124088166, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brent J. Bradley?
The Brent J. Bradley is physically situated at 700 Sheridan Lake Rd, in the city of Rapid City, state of SD, with the postal code 577022407.
What is the Brent J. Bradley's area of specialization and corresponding taxonomy classification?
The Brent J. Bradley's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did Brent J. Bradley receive its 1124088166 assignment?
The Brent J. Bradley was assigned its 1124088166 on 2006-03-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Brent J. Bradley most recently updated or revised?
The information pertaining to Brent J. Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-28.
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