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Bradley George Patch, DDS
General Practice Dentistry in Logan, Utah
NPI 1871862664

Bradley George Patch is a General Practice Dentistry based in Logan, UT and is specialized in General Practice. Bradley George Patch practices in Logan, UT and has the professional credentials of DDS. The NPI Number for Bradley George Patch is 1871862664 and holds a License No. 1441559922 (Utah).

The current practice location address for Bradley George Patch is 167 E 200 N, Logan, UT and can be reached out via phone at 435-512-6566.

Location: 167 E 200 N, Logan, UT, 84321-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871862664
Provider Name
Bradley George Patch
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
167 E 200 N, Logan, UT, 84321-4049
Phone Number
435-512-6566
Fax Number
Provider Enumeration Date
12/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0405787210 05 UT
institution
Provider Business Practice Location Address Details
Address
167 E 200 N
City
Logan
State
Utah
Zip
84321-4049
Phone Number
435-512-6566
Fax Number
person
Provider Business Mailing Address Details
Address
167 E 200 N
City
Logan
State
Utah
Zip
84321-4049
Phone Number
435-512-6566
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1441559922 (Utah)
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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