BRADLEY D. BOURCY DDS MS AND RYAN D. HARBERTSON DDS MS
NPI 1417967290
Dentist - Periodontics in Escondido, CA

Q: What is Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since August 08, 2006

850 E. GRAND AVENUE, SUITE A, ESCONDIDO, CA 92025(760) 741-4061(760) 432-8764 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY D. BOURCY DDS MS AND RYAN D. HARBERTSON DDS MS (NPI 1417967290), doing business as David L. Tagge, D.d.s., M.s.d. And Bradley D. Bourcy, D.d.s., M.s., In, is a healthcare organization registered as a periodontics in Escondido, California and active in the NPI registry since August 2006. The organization lists Ryan D. Harbertson, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1417967290

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameBRADLEY D. BOURCY DDS MS AND RYAN D. HARBERTSON DDS MS

Location Address850 E. GRAND AVENUE, SUITE AEscondido, CA 92025-3435

Mailing Address850 E. Grand Avenue, Suite AEscondido, CA 92025-3435 · (760) 741-4061 · Fax (760) 432-8764

Phone(760) 741-4061

Fax(760) 432-8764

Organization SubpartNo

Authorized OfficialRyan D. HarbertsonOwner/partner · (760) 741-4061

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 10, 2014

✔ NPI 1417967290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 042637

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

850 E. GRAND AVENUE, Escondido, CA 92025

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Other Names 1

Former Legal Business NameDavid L. Tagge, D.d.s., M.s.d. And Bradley D. Bourcy, D.d.s., M.s., In

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms's NPI number?

The NPI number for Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms is 1417967290. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider was formerly known as David L. Tagge, D.D.S., M.S.D. And Bradley D. Bourcy, D.D.S., M.S., In.

Where is Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms located?

Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms is located at 850 E. Grand Avenue Suite A, Escondido, CA 92025. The listed phone number is (760) 741-4061.

What is Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.