Individual
DR. ERIN S BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1438 E. AUGUSTINE LN, STE #1, FAYETTEVILLE, AR 72703
(479) 251-9000
(479) 251-9002
Mailing address
1438 E. AUGUSTINE LN, STE #1, FAYETTEVILLE, AR 72703
(479) 251-9000
(479) 251-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3473
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620894
UCCI
AR
01
—
5X950
BC/BS
AR
Enumeration date
10/12/2006
Last updated
04/13/2015
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