Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871862664 Individual Practitioner Male Practitioner

Dr. Bradley George Patch , DDS

Dentist - General Practice • Logan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Patch, DDS is a registered healthcare professional specializing in Dentist - General Practice in Logan, UT. Practice services are available at 167 E 200 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

167 E 200 N
# 4

Logan, UT 843214049

Telephone 4355126566
Associated Practice Facility / Clinic
🏢 Logan Pdc Pllc Facility NPI 1457801078

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Logan, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 1441559922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0405787210 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Stewart Jensen , DDS

Dentist - General Practice

NPI 1104086677

Doctor of Dental Surgery

NPI 1497764971
Dr. Matthew Cheney , DMD

Dentist - General Practice

NPI 1942398268

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2011

Registered at 167 E 200 N, # 4, LOGAN, UT 843214049 (Tel: 4355126566)

📍
Updated Business Mailing Address December 22, 2011

Registered at 167 E 200 N, # 4, LOGAN, UT 843214049 (Tel: 4355126566)

👤
Provider Name / Credentials Updated December 22, 2011

Recorded as BRADLEY PATCH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2011

Dentist (License #1441559922 in UT)

🟢
Initial NPI Registration & Enumeration December 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Bradley Patch. Be the first to share your experience!

Sign in to leave a review for Dr. Bradley Patch

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871862664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2011
Last Update: December 22, 2011
Sole Proprietor: Yes

Mailing Address

167 E 200 N, # 4

Logan, UT 843214049

Phone: 4355126566

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.