Bradley S Frey
Oral and Maxillofacial Surgeon
14333 Laurel Bowie Rd Suite 205
Laurel
, Maryland 20708
Bradley S Frey
Oral and Maxillofacial Surgeon
14333 Laurel Bowie Rd Suite 205
Laurel
, Maryland 20708
(301) 953-1891
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Bradley S Frey
- 14333 Laurel Bowie Rd Suite 205
- Laurel, MD
- Zip : 20708
- Fax : (301) 953-1891
- Phone : (301) 953-1888
Second Address
- Bradley S Frey
- 14333 Laurel Bowie Rd Suite 205
- Laurel, MD
- Zip : 20708
- Fax : (301) 953-1891
- Phone : (301) 953-1888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12145 | MD |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | DEN5935 | DC |
National Provider Identifier
| NPI | 1053401257 |
|---|---|
| Provider Name | Bradley S Frey |
| First Address | Laurel, MD 20708 |
| Second Address | Laurel, MD 20708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U64134 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.