Provider Demographics
NPI:1700969029
Name:ALMOND, BRADLEY MICHAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:MICHAEL
Last Name:ALMOND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 N YELM ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-3001
Mailing Address - Country:US
Mailing Address - Phone:509-783-1000
Mailing Address - Fax:509-578-5407
Practice Address - Street 1:419 N YELM ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3001
Practice Address - Country:US
Practice Address - Phone:509-783-1000
Practice Address - Fax:509-578-5407
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9199122300000X
WADE605998491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist