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BRET A. AVRA DMD PSC. NPI 1093887937


NPI Information

NPI: 1093887937
Provider Name: BRET A. AVRA, DMD, PSC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2605 KENTUCKY AVE
STE #302
PADUCAH, KY
ZIP 42003
Phone: (270) 443-1717
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BRET A. AVRA, DMD, PSC. is an oral and maxillofacial surgery dentist in Paducah, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BRET A. AVRA, DMD, PSC. NPI is 1093887937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2605 KENTUCKY AVE
STE #302
PADUCAH, KY
ZIP 42003-800
Phone: (270) 443-1717
Fax: (270) 443-0517

The provider's authorized official is Bret A Avra .
The authorized official title is President and has the following contact phone number (270) 443-1717.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery6283KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1560132OTHERKENTUCKYUNITED CONCORDIA
2000000316468OTHERKENTUCKYANTHEM BCBS KY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.