Gijsbertus Brandse in Cambridge - Prosthodontics
Gijsbertus Brandse - NPI 1063567410
Gijsbertus Brandse is a Prosthodontics in Cambridge, Massachusetts. Gijsbertus Brandse practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Gijsbertus Brandse is 1063567410. The last update date is 2007-07-08.
Gijsbertus Brandse's current location address is 181 Concord Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6174926070 and fax number 6175763848. The mailing address for Gijsbertus Brandse is 181 Concord Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gijsbertus Brandse |
|---|---|
| Address | 181 Concord Ave, Cambridge, Massachusetts |
| Phone Number | 6174926070 |
| Fax Number | 6175763848 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1063567410 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 181 Concord Ave |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21382317 |
| Phone Number | 6174926070 |
| Fax Number | 6175763848 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 19478 |
|
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 identification code assigned to Gijsbertus Brandse by the Centers for Medicare & Medicaid Services?
The Gijsbertus Brandse has been issued the NPI (National Provider Identifier) 1063567410, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gijsbertus Brandse?
The Gijsbertus Brandse is situated at 181 Concord Ave, in the city of Cambridge, state of MA, with the zip code 21382317.
What is the Gijsbertus Brandse's specialty and taxonomy code?
The Gijsbertus Brandse's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
On what date did the Gijsbertus Brandse receive its 1063567410 assignment from the Centers for Medicare & Medicaid Services?
The Gijsbertus Brandse was assigned its 1063567410 by the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date was the information regarding Gijsbertus Brandse, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gijsbertus Brandse, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1184622524
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA