Individual
DR. BRAD A TWADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1906 CORONA RD, STE 200, COLUMBIA, MO 65203
(573) 234-2774
Mailing address
3705 HUNTER VALLEY DR, COLUMBIA, MO 65203
(573) 445-7482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015724
LICENSE #
MO
01
—
1795492-7
TAX ID #
MO
Enumeration date
09/05/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us