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Contact Information

MATTHEW BRADY, DDS
7613 ESTHER CIR
FREDERICK, CO80504-5881
 Phone: 757-462-6602
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MATTHEW BRADY · (Male)

NPI # 1477524643
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/27/2006
Last updated 05/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 00201885
  • OR License # D8112
  • CO Medicaid 61086541
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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