Brady, Matthew

Brady, Matthew is an individual health care provider with primary practice located at 7613 Esther Cir , Frederick CO 80504-5881. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Brady, Matthew can be contacted via phone (757) 462-6602.

Contact Information

Primary practice address
7613 Esther Cir Frederick CO 80504-5881
Phone: (757) 462-6602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D8112 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X 00201885 Colorado

Profile Details

NPI number 1477524643
LBN Legal business name Brady, Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 24th, 2024 - about last year

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 1477524643 NPPES
Colorado MEDICAID 61086541

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