Bradley George Patch is a Logan, Utah based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Bradley George Patch is 1441559922 for General Practice Dentistry in Utah. His current practice location is 167 E 200 N, # 4, Logan. Patients can reach him at 435-512-6566.
Bradley George Patch is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Bradley George Patch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Bradley George Patch
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
167 E 200 N, # 4, Logan, Utah, 84321-4049
Phone:
435-512-6566
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871862664
NPI Enumeration Date:
22 Dec, 2011
NPI Last Update On:
22 Dec, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley George Patch are as mentioned below.
License Number
Specialization
State
Status
1441559922
General Practice Dentistry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bradley George Patch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0405787210
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
167 E 200 N, # 4 Logan, Utah
Zip:
84321-4049
Phone Number:
435-512-6566
Patients can reach Bradley George Patch at 167 E 200 N, # 4, Logan, Utah or can call to book an appointment on 435-512-6566. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.