Dr. Bradley Smith
Orthodontists
50 S San Mateo Dr Ste 160
San Mateo
, California 94401-3859
Dr. Bradley Smith
Orthodontists
50 S San Mateo Dr Ste 160
San Mateo
, California 94401-3859
(650) 375-8130
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Bradley Smith
- 50 So San Mateo Dr #160
- San Mateo, CA
- Zip : 94401
- Fax : (650) 375-8130
- Phone : (305) 778-0827
Second Address
- Dr. Bradley Smith
- 50 S San Mateo Dr Ste 160
- San Mateo, CA
- Zip : 94401-3859
- Fax : (650) 375-8130
- Phone : (305) 778-0827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 64085 | CA |
National Provider Identifier
| NPI | 1023412921 |
|---|---|
| Provider Name | Dr. Bradley Smith |
| First Address | San Mateo, CA 94401 |
| Second Address | San Mateo, CA 94401-3859 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2014 |
| Last Update Date | 21/10/2014 |
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.