Organization
ERRON S BRADY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERRON SCOTT BRADY DMD (OWNER)
(704) 321-0414
Entity
Organization
Contact information
Practice address
11030 GOLF LINKS DR, SUITE 201, CHARLOTTE, NC 28277-8009
(704) 321-0414
(704) 321-0217
Mailing address
11030 GOLF LINKS DR, SUITE 201, CHARLOTTE, NC 28277-8009
(704) 321-0414
(704) 321-0217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7411
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902HR
—
NC
Enumeration date
05/15/2008
Last updated
09/09/2021
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