Doctor Name: | DR. BRADLEY A PURCELL |
NPI Number: | 1073779575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS, MS |
License Number: | 30022655 |
Business Practice Address: | 55 Caren Ave Ste 270 Worthington, OH - 430852515 |
Business Phone Number: | 6148854401 |
Business Fax Number: | 6148880284 |
Mailing Address: | 55 Caren Ave Ste 270, WORTHINGTON |
State: | OH |
Postal Code: | 430852515 |
Phone Number: | 6148854401 |
Fax Number: | 6148880284 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 30022655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |