# BRADLEY L DECOUNTER DDS MS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922213289
- **Authorized official:** DR. BRADLEY LON DECOUNTER DDS MS (DENTIST PROSTHODONTIST)
- **Authorized official phone:** (509) 926-7431

## Contact information

- **Practice address:** 826 N MULLAN RD, SUITE D, SPOKANE, WA 99206
- **Practice address phone:** (509) 926-7431
- **Practice address fax:** (509) 926-1359
- **Mailing address:** 826 N MULLAN RD, SUITE D, SPOKANE, WA 99206
- **Mailing address phone:** (509) 926-7431
- **Mailing address fax:** (509) 926-1359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5922 | WA | — |
| 1223P0700X | Prosthodontics | 5922 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5096706 | — | WA |