Twaddle, Brad A

Twaddle, Brad A is an sole proprietor health care provider with primary practice located at 1906 Corona Rd Ste 200, Columbia MO 65203. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Twaddle, Brad A can be contacted via phone (573) 234-2774.

Contact Information

Primary practice address
1906 Corona Rd Ste 200 Columbia MO 65203
Phone: (573) 234-2774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 015724 Missouri

Profile Details

NPI number 1720181076
LBN Legal business name Twaddle, Brad A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1720181076 NPPES
Missouri Other 015724 LICENSE #
Missouri Other 1795492-7 LICENSE #

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