DR. BRAD N JUDY DDS NPI 1922154335

NPI Information

NPI: 1922154335
Provider Name: DR. BRAD N JUDY, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3236 78TH AVE SE STE 106
MERCER ISLAND, WA
ZIP 98040
Phone: (206) 232-5866
Get Directions

DR. Brad N Judy, DDS is a general practice dentist in Mercer Island, WA. 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. DR. Brad N Judy, DDS NPI is 1922154335. 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:

3236 78TH AVE SE STE 106
MERCER ISLAND, WA
ZIP 98040-500
Phone: (206) 232-5866
Fax: (206) 232-5870

The enumeration date for this NPI number is 1/26/2007 and was last updated on 12/27/2023.

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
1	122300000X	Dentist		DE60067325	WASHINGTON	No
2	1223G0001X	Dentist	General Practice	DE60067325	WASHINGTON	Yes

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
1	WA 60067325	OTHER	WASHINGTON	STATE DENTAL LICENSE

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »