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BRANNICK D ADAMS DDS PC NPI 1437475704


NPI Information

NPI: 1437475704
Provider Name: BRANNICK D ADAMS DDS PC

Doing Business As: HARVARD DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1539 W HARVARD AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-5150
Get Directions

BRANNICK D ADAMS DDS PC is a general practice dentist in Roseburg, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRANNICK D ADAMS DDS PC NPI is 1437475704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Harvard Dental Group.

The provider's business location address is:

1539 W HARVARD AVE
ROSEBURG, OR
ZIP 97471-873
Phone: (541) 673-5150

The provider's authorized official is Brannick D Adams .
The authorized official title is Denist/president and has the following contact phone number (541) 673-5150.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 4/12/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice8590OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213541MEDICAIDOREGON

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: 5/5/2024

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