Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD EDWARD PEZOLDT, DDS MSD
Active Sole ProprietorDR. BRAD EDWARD PEZOLDT, DDS MSD is a Orthodontics healthcare provider located in MODESTO, California. NPI 1669539292 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MODESTO, CA
Registration Details
- NPI Number
- 1669539292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.574744126216 yrs)
- Last Updated
- Aug 11, 2009
- License
-
41206 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1316 COFFEE RD STE D10MODESTO, CA, 953553191Browse CA providers · Browse ZIP 95355
- Phone
- 2095242988
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| SCOTT R. ASBILL | DDS, MS | 1972630887 |
| DR. STAN R HEINER | DDS | 1720204332 |
| DR. RONALD LYNN CHAMPION | D.D.S. | 1104044312 |
| DR. MATTHEW D SWATMAN | DDS, MSD | 1659592285 |
| DR. AMY ELAINE BUCHLER | DMD | 1932380201 |
| DR. JEREMY THOMAS WEST | D.D.S. | 1366626764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.