Bradshaw, Dennis Lyle
Bradshaw, Dennis Lyle is an individual health care provider with primary practice located at 4403 W Court St Suite A, Pasco WA 99301-2879. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Bradshaw, Dennis Lyle can be contacted via phone (509) 547-9549.Contact Information
Primary practice address
4403 W Court St Suite A
Pasco WA 99301-2879
Phone: (509) 547-9549
Fax: (509) 547-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6183 | Washington |
| Dental Providers / General Practice | 1223G0001X | DE00006183 | Washington |
Profile Details
| NPI number | 1508991951 |
|---|---|
| LBN Legal business name | Bradshaw, Dennis Lyle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Apr 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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