DR. BRADLEY HALLIWILL (NPI# 1134760424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134760424 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY HALLIWILL |
| Credential | DDS |
| Practice Address |
2501 W Pierson Rd # Unitsb-d Flint MI 48504-6802 |
| Mailing Address |
5939 Montgomery Dr Shelby Twp MI 48316-4332 |
| Practice Telephone | 8107895880 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901600366 | MI | Dental Providers |
| Street Address |
2501 W PIERSON RD # UNITSB-D |
| City | FLINT |
| State | MI |
| Zip Code | 48504-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| 1336396142 | Midwest Medical Management | Obstetrics & Gynecology | G-3422 Flushing Rd, Flint, MI 48504 | 2008-08-22 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1790264299 | Miles of Smiles Dentistry | Dentist | 5621 Leslie Ct, Flint, MI 48504-7017 | 2018-08-07 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1962952770 | Deluxe Dental | Dentist | 3617 Corunna Rd, Flint, MI 48532-3830 | 2016-10-05 |
| 1376941773 | Deluxe Dental Associates Pllc | Dentist | 3760 S Dort Hwy, Flint, MI 48507 | 2014-12-17 |
| 1982978086 | Dr. Robert A. Davis | Dentist | 2710 W Court St Ste 6, Flint, MI 48503-3061 | 2012-03-07 |
| 1730407602 | Traci Jill Dantzler | Dentist | 4170 Lennon Rd Ste A, Flint, MI 48507-1083 | 2010-05-17 |
| 1053635458 | Mohanad Ballani | Dentist | G3538 Miller Rd, Ste A, Flint, MI 48507-1271 | 2010-03-15 |
| 1457510513 | Yang Luen Shih | Dentist | 932 S Center Rd, Flint, MI 48503-4511 | 2008-06-04 |
| 1407021991 | Mildred Jean Tinker | Dentist | G-4256 S. Linden Rd., Flint, MI 48507-2908 | 2008-04-25 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.