Dr. Matthew Brady, d.d.s.
Dentist, Pediatric Dentistry in Frederick, CO. Individual provider (NPI-1).
NPI number1477524643
StatusActive
Last updated in NPPESMay 24, 2024
Details
- NPI
- 1477524643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Brady
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Certification date
- May 24, 2024
- Last updated
- May 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 00201885 | CO | Yes |
| 122300000X | Dentist | d8112 | OR |
Practice location
7613 Esther CirFrederick, CO 80504-5881
Phone 757-462-6602
Mailing address
2381 Antelope Ridge TrlParker, CO 80138-4235
Phone 757-462-6602
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