Bradley Dale Harrelson in Eglin Afb - Oral And Maxillofacial Surgery
Bradley Dale Harrelson - NPI 1386836427
Bradley Dale Harrelson is a Oral And Maxillofacial Surgery in Eglin Afb, Florida. Bradley Dale Harrelson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bradley Dale Harrelson is 1386836427. The last update date is 2018-04-27.
Bradley Dale Harrelson's current location address is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can contact this provider via phone number 8508838600. The mailing address for Bradley Dale Harrelson is 307 Boatner Rd Ste 114, Eglin Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dale Harrelson |
|---|---|
| Address | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
| Phone Number | 8508838600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1386836427 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2018-04-27 |
Provider Mailing Address Detail
| Address | 307 Boatner Rd Ste 114 |
|---|---|
| City | Eglin Afb |
| State | Florida (FL) |
| Post Code | 325421302 |
| Phone Number | 8508838600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3428-07 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Dale Harrelson?
The Bradley Dale Harrelson has been issued the NPI (National Provider Identifier) 1386836427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradley Dale Harrelson is located?
The Bradley Dale Harrelson is situated at the following address: 307 Boatner Rd Ste 114, Eglin Afb, FL, 325421302.
What is Bradley Dale Harrelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bradley Dale Harrelson's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386836427 to Bradley Dale Harrelson?
The Centers for Medicare & Medicaid Services originally issued the 1386836427 to Bradley Dale Harrelson on 2007-08-13.
As of what date were the details related to Bradley Dale Harrelson most recently updated or revised?
The information pertaining to Bradley Dale Harrelson, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-27.