Dr. Brad Allen Pendell
Orthodontists
1862 Shyville Rd
Piketon
, Ohio 45661-9749
Dr. Brad Allen Pendell
Orthodontists
1862 Shyville Rd
Piketon
, Ohio 45661-9749
(740) 289-9716
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Brad Allen Pendell
- 1862 Shyville Rd
- Piketon, OH
- Zip : 45661-9749
- Fax : (740) 289-9716
- Phone : (740) 289-9708
Second Address
- Dr. Brad Allen Pendell
- 1862 Shyville Rd
- Piketon, OH
- Zip : 45661-9749
- Fax : (740) 289-9716
- Phone : (740) 289-9708
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Is Dr. Brad Allen Pendell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 30019689 | OH |
National Provider Identifier
| NPI | 1023032687 |
|---|---|
| Provider Name | Dr. Brad Allen Pendell |
| First Address | Piketon, OH 45661-9749 |
| Second Address | Piketon, OH 45661-9749 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2472953 | (05) | OH |
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.