Provider Demographics
NPI:1700051893
Name:COLE, BRETT HADLEY (DDS)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:HADLEY
Last Name:COLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:895 MORAGA RD
Mailing Address - Street 2:4
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5039
Mailing Address - Country:US
Mailing Address - Phone:925-283-2735
Mailing Address - Fax:925-283-2248
Practice Address - Street 1:895 MORAGA RD
Practice Address - Street 2:4
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5039
Practice Address - Country:US
Practice Address - Phone:925-283-2735
Practice Address - Fax:925-283-2248
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393891223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics