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NPI Code Detail

MEDICARE: BRAYDEN STEVEN OAKES DMD

MEDICARE: BRAYDEN STEVEN OAKES DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2122300000XDentist30.026226OH

General Provider Information

NPI Number : 1154940625
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAYDEN STEVEN OAKES DMD
Provider Business Mailing Address
First Line : UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Second Line : 11100 EUCLID AVE
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 S BYRNE RD STE 107
Second Line :
City : TOLEDO
State : OH
Zip : 43614-3462
Country : US
Telephone Number : 419-867-9553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 10/24/2021

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Directions to “ BRAYDEN STEVEN OAKES DMD” Practice Location

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