Wood, Bradley Chadwick

Wood, Bradley Chadwick is an individual health care provider with primary practice located at 916 S Main St Suite 303, Longmont CO 80501-6671. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wood, Bradley Chadwick can be contacted via phone (303) 485-9123.

Contact Information

Primary practice address
916 S Main St Suite 303 Longmont CO 80501-6671
Phone: (303) 485-9123
Fax: (303) 485-9139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8778 Colorado

Profile Details

NPI number 1922019298
LBN Legal business name Wood, Bradley Chadwick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 15th, 2007 - about 16 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 1922019298 NPPES
Colorado MEDICAID 01700723

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