Brady, Leah Nicole

Brady, Leah Nicole is an individual health care provider with primary practice located at 600 E Main St Suite 2, Mandan ND 58554-3536. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Brady, Leah Nicole can be contacted via phone (701) 667-1933.

Contact Information

Primary practice address
600 E Main St Suite 2 Mandan ND 58554-3536
Phone: (701) 667-1933
Fax: (701) 667-2115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2070 North Dakota
Dental Providers / Dentist 122300000X 2070 North Dakota

Profile Details

NPI number 1679886923
LBN Legal business name Brady, Leah Nicole
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2010
Last updated Dec 16th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679886923 NPPES
North Dakota MEDICAID 1457027

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