Bradley Allen Irving in Moraga - Orthodontics And Dentofacial Orthopedics

Bradley Allen Irving - NPI 1275630121

Bradley Allen Irving is a Orthodontics And Dentofacial Orthopedics in Moraga, California. Bradley Allen Irving practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bradley Allen Irving is 1275630121. The last update date is 2007-07-08.

Bradley Allen Irving's current location address is 75 Corte Yolanda, Moraga, California. You can contact this provider via phone number 9252836723 and fax number 5103391021. The mailing address for Bradley Allen Irving is 75 Corte Yolanda, Moraga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Allen Irving
Address 75 Corte Yolanda, Moraga, California
Phone Number 9252836723
Fax Number 5103391021
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1275630121
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 75 Corte Yolanda
City Moraga
State California (CA)
Post Code 945561625
Phone Number 9252836723
Fax Number 5103391021

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 35620
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Bradley Allen Irving

What is the unique 10-digit identification code assigned to Bradley Allen Irving by the Centers for Medicare & Medicaid Services?

The Bradley Allen Irving has been issued the NPI (National Provider Identifier) 1275630121, 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 Bradley Allen Irving?

The Bradley Allen Irving is physically situated at 75 Corte Yolanda, in the city of Moraga, state of CA, with the postal code 945561625.

What is Bradley Allen Irving's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bradley Allen Irving is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1275630121 to Bradley Allen Irving?

The Bradley Allen Irving received its 1275630121 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date were the Bradley Allen Irving's details last updated?

The information pertaining to the Bradley Allen Irving, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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