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Bradley S Nydegger, DDS
General Practice Dentistry in Covelo, California
NPI 1396967782

Bradley S Nydegger is a General Practice Dentistry based in Covelo, CA and is specialized in General Practice. Bradley S Nydegger practices in Covelo, CA and has the professional credentials of DDS. The NPI Number for Bradley S Nydegger is 1396967782 and holds a License No. 36970 (California).

The current practice location address for Bradley S Nydegger is Highway 162 & Biggar Lane, Covelo, CA and can be reached out via phone at 707-983-6404 and via fax at 707-983-6184.

Location: Highway 162 & Biggar Lane, Covelo, CA, 95428-0247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396967782
Provider Name
Bradley S Nydegger
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Highway 162 & Biggar Lane, Covelo, CA, 95428-0247
Phone Number
707-983-6404
Fax Number
707-983-6184
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066 01 CA PIN #
36970 01 CA LICENSE #
institution
Provider Business Practice Location Address Details
Address
Highway 162 & Biggar Lane
City
Covelo
State
California
Zip
95428-0247
Phone Number
707-983-6404
Fax Number
707-983-6184
person
Provider Business Mailing Address Details
Address
Highway 162 & Biggar Lane
City
Covelo
State
California
Zip
95428-0247
Phone Number
707-983-6404
Fax Number
707-983-6184
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
36970 (California)
Definition
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.
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