| Erron S Brady Dmd Pa | |
|
11030 Golf Links Dr N Suite 201 Charlotte NC 28277 | |
| (704) 321-0414 | |
| (704) 321-0217 |
| Full Name | Erron S Brady Dmd Pa |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 11030 Golf Links Dr N, Charlotte, North Carolina |
| Authorized Official Name and Position | Erron S Brady (OWNER/DENTIST) |
| Authorized Official Contact | 7043210414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erron S Brady Dmd Pa 11030 Golf Links Dr N Suite 201 Charlotte NC 28277 Ph: (704) 321-0414 | Erron S Brady Dmd Pa 11030 Golf Links Dr N Suite 201 Charlotte NC 28277 Ph: (704) 321-0414 |
| NPI Number | 1144996711 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 6709251259 |
|---|---|
| Medicare Enrollment ID | O20230414000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144996711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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