MEDICARE: DR. BRADLEY SCOTT STRONG D.D.S.

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
1	1223G0001X	General Practice Dentistry	2820	NV

General Provider Information

NPI Number	:	1619970621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY SCOTT STRONG D.D.S.

Provider Business Mailing Address
First Line	:	2931 N TENAYA WAY
Second Line	:	STE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-242-3800
Fax Number	:	702-242-9420

Provider Business Practice Location Address
First Line	:	2931 N TENAYA WAY
Second Line	:	STE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0458
Country	:	US
Telephone Number	:	702-242-3800
Fax Number	:	702-242-9420

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. BRADLEY SCOTT STRONG D.D.S.” Practice Location

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