| Bradley S Nydegger, DDS | |
|
Highway 162 & Biggar Lane, Covelo, CA 95428-0247 | |
| (707) 983-6404 | |
| (707) 983-6184 |
| Full Name | Bradley S Nydegger |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | Highway 162 & Biggar Lane, Covelo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396967782 | NPI | - | NPPES |
| 1066 | Other | CA | PIN # |
| 36970 | Other | CA | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36970 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley S Nydegger, DDS Po Box 247, Covelo, CA 95428-0247 Ph: (707) 983-6404 | Bradley S Nydegger, DDS Highway 162 & Biggar Lane, Covelo, CA 95428-0247 Ph: (707) 983-6404 |
Someth Lor, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: Highway 162 & Biggar Lane, Covelo, CA 95428 Phone: 707-983-6404 Fax: 707-983-6184 | |
Dr. Craig B Emerson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Highway 162 And Biggar Lane, Covelo, CA 95428 Phone: 707-983-6404 Fax: 707-983-6051 |