Provider Demographics
NPI:1821193301
Name:MCPHEE, BRADLEY P (DDS)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:P
Last Name:MCPHEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 40TH ST W
Mailing Address - Street 2:#B
Mailing Address - City:UNIVERISTY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466
Mailing Address - Country:US
Mailing Address - Phone:253-565-4312
Mailing Address - Fax:253-565-9925
Practice Address - Street 1:7120 40TH ST W
Practice Address - Street 2:#B
Practice Address - City:UNIVERISTY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466
Practice Address - Country:US
Practice Address - Phone:253-565-4312
Practice Address - Fax:253-565-9925
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA56001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice