Glenn William Bredfeldt in Wheaton - Prosthodontics
Glenn William Bredfeldt - NPI 1528172715
Glenn William Bredfeldt is a Prosthodontics in Wheaton, Illinois. Glenn William Bredfeldt practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Glenn William Bredfeldt is 1528172715. The last update date is 2007-07-08.
Glenn William Bredfeldt's current location address is 0n620 Herrick Dr, Wheaton, Illinois. You can contact this provider via phone number 6306686514. The mailing address for Glenn William Bredfeldt is 0n620 Herrick Dr, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn William Bredfeldt |
|---|---|
| Address | 0n620 Herrick Dr, Wheaton, Illinois |
| Phone Number | 6306686514 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1528172715 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 0n620 Herrick Dr |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601873088 |
| Phone Number | 6306686514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 19-014804 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identifier code issued to Glenn William Bredfeldt by the Centers for Medicare & Medicaid Services?
The Glenn William Bredfeldt has been assigned the NPI (National Provider Identifier) 1528172715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Glenn William Bredfeldt is geographically located?
The Glenn William Bredfeldt is physically situated at the following location: 0N620 Herrick Dr, Wheaton, IL, 601873088.
What is the Glenn William Bredfeldt's area of specialization and corresponding taxonomy classification?
The Glenn William Bredfeldt's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1528172715 assigned to Glenn William Bredfeldt?
The Glenn William Bredfeldt was issued its 1528172715 on 2006-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Glenn William Bredfeldt most recently updated or refreshed?
The details pertaining to the Glenn William Bredfeldt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.