Judy, Brad N

Judy, Brad N is an individual health care provider with primary practice located at 3236 78Th Ave Se Ste 106 , Mercer Island WA 98040-3500. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Judy, Brad N can be contacted via phone (206) 232-5866.

Contact Information

Primary practice address
3236 78Th Ave Se Ste 106 Mercer Island WA 98040-3500
Phone: (206) 232-5866
Fax: (206) 232-5870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60067325 Washington
Dental Providers / General Practice 1223G0001X DE60067325 Washington

Profile Details

NPI number 1922154335
LBN Legal business name Judy, Brad N
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Dec 27th, 2023 - about 2 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 1922154335 NPPES
Washington Other WA 60067325 STATE DENTAL LICENSE

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