Bradley L Decounter Dds Ms Llc
LBN: Bradley L Decounter Dds Ms Llc
Bradley L Decounter Dds Ms Llc is an health care organization with primary practice located at 826 N Mullan Rd Suite D, Spokane WA 99206. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is the primary health care specialty.
Bradley L Decounter Dds Ms Llc can be contacted via phone (509) 926-7431, or through Decounter, Bradley Lon via phone (509) 926-7431.
Contact Information
Primary practice address
826 N Mullan Rd Suite D
Spokane WA 99206
Phone: (509) 926-7431
Fax: (509) 926-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5922 | Washington |
| Dental Providers / Prosthodontics | 1223P0700X | 5922 | Washington |
Profile Details
| NPI number | 1922213289 |
|---|---|
| LBN Legal business name | Bradley L Decounter Dds Ms Llc |
| DBA Doing business as | |
| Authorized official | Decounter, Bradley Lon DDS MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922213289 | NPPES |
| Washington | MEDICAID | 5096706 |
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