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 |
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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 |
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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 |
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Provider Enumeration Date | 08/23/2021 |
Last Update Date | 09/09/2021 |
Medicare PECOS PAC ID | 6709251259 |
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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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