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BRADLEY A PURCELL D.D.S. M.S. & RYAN M. MIZUMOTO D.M.D. M.S. INC NPI 1912250135


NPI Information

NPI: 1912250135
Provider Name: BRADLEY A PURCELL D.D.S. M.S. & RYAN M. MIZUMOTO D.M.D., M.S., INC

Doing Business As: SPECTRUM DENTAL & PROSTHODONTICS

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
55 CAREN AVE STE 270
WORTHINGTON, OH
ZIP 43085
Phone: (614) 888-7012
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BRADLEY A PURCELL D.D.S. M.S. & RYAN M. MIZUMOTO D.M.D., M.S., INC is a prosthodontics dentist in Worthington, OH. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BRADLEY A PURCELL D.D.S. M.S. & RYAN M. MIZUMOTO D.M.D., M.S., INC NPI is 1912250135. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Dental & Prosthodontics.

The provider's business location address is:

55 CAREN AVE STE 270
WORTHINGTON, OH
ZIP 43085-515
Phone: (614) 888-7012
Fax: (614) 888-0284

The provider's authorized official is Bradley A Purcell .
The authorized official title is Owner/dentist and has the following contact phone number (614) 885-4249.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 11/5/2020.


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
11223P0700XDentistProsthodontics15174MICHIGANYes
21223P0700XDentistProsthodontics22655ILLINOISNo

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

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