BRET A AVRA DM.D. NPI 1144230079

NPI Information

Bret A Avra, D,M.D. 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, D,M.D. NPI is 1144230079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 NPI 1144230079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/9/2006 and was last updated on 10/21/2015.

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:

Other Identifiers

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

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