NPI 1861594640 · live from the CMS NPI Registry
Bradley Nirenblatt, D.M.D., PA
Dentist, Orthodontics and Dentofacial Orthopedics in North Charleston, SC. National Provider Identifier 1861594640, active.
NPI record
| NPI | 1861594640 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2680 Elms Plantation Blvd, Suite 102, North Charleston, SC 29406 |
| Practice phone | 843-572-1060 |
| Enumerated | September 2, 2006 |
| Last updated | October 18, 2007 |
| Authorized official | Bradley Nirenblatt, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 0400 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.