Bradley A. Eli Dental Corporation in Encinitas - Orofacial Pain
Bradley A. Eli Dental Corporation - NPI 1962533919
Bradley A. Eli Dental Corporation is a Orofacial Pain in Encinitas, California. Bradley A. Eli Dental Corporation practices all healthcare services and medical treatments related to Orofacial Pain. The NPI Number for Bradley A. Eli Dental Corporation is 1962533919. The last update date is 2022-06-14.
Bradley A. Eli Dental Corporation's current location address is 4403 Manchester Ave, Encinitas, California. You can contact this provider via phone number 7604366365 and fax number 7604365123. The mailing address for Bradley A. Eli Dental Corporation is 4403 Manchester Ave, Encinitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley A. Eli Dental Corporation |
|---|---|
| Address | 4403 Manchester Ave, Encinitas, California |
| Phone Number | 7604366365 |
| Fax Number | 7604365123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eli Allen Bradley |
| Credentials | DMD |
| Telephone Number | 7604364062 |
NPI Number Detail
| NPI Number | 1962533919 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 4403 Manchester Ave |
|---|---|
| City | Encinitas |
| State | California (CA) |
| Post Code | 920244939 |
| Phone Number | 7604366365 |
| Fax Number | 7604365123 |
Provider's Primary Taxonomy Detail
| Speciality | Orofacial Pain |
|---|---|
| Taxonomy | 1223X2210X |
|
Definition: A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral o |
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What is the unique provider identifier assigned to Bradley A. Eli Dental Corporation?
The Bradley A. Eli Dental Corporation has been issued the NPI (National Provider Identifier) 1962533919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Bradley A. Eli Dental Corporation?
The Bradley A. Eli Dental Corporation is situated at 4403 Manchester Ave, in the city of Encinitas, state of CA, with the zip code 920244939.
What is Bradley A. Eli Dental Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley A. Eli Dental Corporation is Orofacial Pain, and the taxonomy classification code that categorizes this area of expertise is 1223X2210X.
When did the Bradley A. Eli Dental Corporation receive its 1962533919?
The Bradley A. Eli Dental Corporation was issued its 1962533919 on 2007-03-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Bradley A. Eli Dental Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley A. Eli Dental Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-06-14.