BRADLEY L DECOUNTER DDS MS LLC


Address: 826 N Mullan Rd, Suite D, Spokane, WA 99206
Phone: 5099267431

BRADLEY L DECOUNTER DDS MS LLC (NPI# 1922213289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922213289
Entity Type Organization
Organization Name BRADLEY L DECOUNTER DDS MS LLC
Practice Address 826 N Mullan Rd
Suite D
Spokane
WA 99206
Practice Telephone 5099267431
Practice Fax Number 5099261359
Mailing Telephone 5099267431
Mailing Fax Number 5099261359
Enumeration Date 2007-05-11
Last Update Date 2020-08-22
Authorized Official Name DR. BRADLEY LON DECOUNTER (DENTIST PROSTHODONTIST)
Authorized Official Telephone 5099267431
Authorized Official Credential DDS MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 1223G0001X Dentist
Specialization: General Practice
5922 WA Dental Providers
X 1223P0700X Dentist
Specialization: Prosthodontics
5922 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 5096706 05

Office Location

Street Address 826 N MULLAN RD
SUITE D
City SPOKANE
State WA
Zip Code 99206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851913495 Ea Healing Arts LLC Acupuncturist 210 N University Rd, Ste 200, Spokane Valley, WA 99206 2020-05-16
1922659630 Creative Harmony Counseling LLC Counselor 721 N Pines Road, Spokane, WA 99206 2019-09-24
1477027092 Hunter Badgley Counselor 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 2019-01-16
1851880934 Ryan Bushman Dentist 919 N Pines Rd, Spokane Valley, WA 99206 2018-05-04
1902307531 Lois Jensen Counselor 3507 S. Spotted Rd., Spokane, WA 99206 2018-02-28
1295258804 Melissa Ann Reamer Speech-Language Pathologist 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 2017-07-25
1730619149 Amanda Kathryn Fuchs Counselor 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 2017-06-18
1588105308 Pine Ridge Management Wa LLC Assisted Living Facility 5615 West Umatilla, Spokane, WA 99206 2017-03-13
1427405893 Sarah Winn Counselor 721 N Pines, Spokane Valley, WA 99206 2016-05-16
1134573199 Elzbieta H Anderson Acupuncturist 210 N University Rd Ste 200, Spokane Valley, WA 99206 2016-04-15
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427662303 Dr. Teemu J Scarborough Dds PC Dentist 707 W Francis Ave Ste 100, Spokane, WA 99205-6401 2020-09-08
1932682374 Dental Professionals of Washington Quirt Mongrain Gibree PC Dentist 2807 S Stone St Ste 102, Spokane, WA 99223-4904 2018-09-12
1821582735 Dental Professionals of Washington Quirt Mongrain Gibree PC Dentist 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 2018-06-15
1689175309 Evolution Dental Alliance Dentist 507 S Washington St Ste 190, Spokane, WA 99204-2608 2018-02-27
1528411600 Richard G Witter, Dds Dentist 3150 E 27th Ave # 200, Spokane, WA 99223-4919 2016-07-13
1922461409 Michael Davis Dmd Pllc Dentist 15 E Central Ave Ste 2, Spokane, WA 99208-1109 2016-04-01
1174938500 Heather Marie Moore Dentist 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 2014-06-24
1235550898 Penelope Walpole Dentist 9802 E. Holman Rd, Spokane, WA 99206 2013-12-30
1437590338 Thomas A Stein Dentist 520 S Cowley St Ste 105, Spokane, WA 99202-1315 2013-07-09
1710242367 Amy Clement Dentist 4815 N Assembly St., Spokane, WA 99205 2012-07-10
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Competitor

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City SPOKANE
Zip Code 99206

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Dataset Information

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.

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