Bradley L Decounter Dds Ms Llc in Spokane - Prosthodontics
Bradley L Decounter Dds Ms Llc - NPI 1922213289
Bradley L Decounter Dds Ms Llc is a Prosthodontics in Spokane, Washington. Bradley L Decounter Dds Ms Llc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Bradley L Decounter Dds Ms Llc is 1922213289. The last update date is 2020-08-22.
Bradley L Decounter Dds Ms Llc's current location address is 826 N Mullan Rd, Spokane, Washington. You can contact this provider via phone number 5099267431 and fax number 5099261359. The mailing address for Bradley L Decounter Dds Ms Llc is 826 N Mullan Rd, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley L Decounter Dds Ms Llc |
|---|---|
| Address | 826 N Mullan Rd, Spokane, Washington |
| Phone Number | 5099267431 |
| Fax Number | 5099261359 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST PR |
|---|---|
| Authorized Official Name | Decounter Lon Bradley |
| Credentials | DDS MS |
| Telephone Number | 5099267431 |
NPI Number Detail
| NPI Number | 1922213289 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 826 N Mullan Rd |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 99206 |
| Phone Number | 5099267431 |
| Fax Number | 5099261359 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 5922 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5096706 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley L Decounter Dds Ms Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley L Decounter Dds Ms Llc has been assigned the NPI (National Provider Identifier) 1922213289. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Bradley L Decounter Dds Ms Llc located?
The Bradley L Decounter Dds Ms Llc is located at 826 N Mullan Rd, Spokane, WA 99206.
What is the area of specialization for Bradley L Decounter Dds Ms Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley L Decounter Dds Ms Llc is Prosthodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922213289 to Bradley L Decounter Dds Ms Llc?
The Centers for Medicare & Medicaid Services originally issued the 1922213289 to Bradley L Decounter Dds Ms Llc on 2007-05-11.
As of what date were the details related to Bradley L Decounter Dds Ms Llc most recently updated or revised?
The information pertaining to Bradley L Decounter Dds Ms Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.