DR. BRAD EDWARD PEZOLDT DDS MSD
NPI 1669539292
Dentist - Orthodontics and Dentofacial Orthopedics in Modesto, CA

Active since January 02, 2007
1316 COFFEE RD STE D10, MODESTO, CA 95355(209) 524-2988 Get Directions Write a Review

NPPES record last updated: August 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brad Edward Pezoldt Dds Msd NPPES

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

DR. BRAD EDWARD PEZOLDT DDS MSD (NPI 1669539292) is an individual orthodontics and dentofacial orthopedics provider in Modesto, California, licensed in California (41206) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1669539292
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BRAD EDWARD PEZOLDTCredential: DDS MSD
Location Address1316 COFFEE RD STE D10Modesto, CA 95355-3191
Mailing Address4320 Alsace LnModesto, CA 95356-8945 · (209) 524-2988
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 11, 2009
NPI 1669539292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 41206
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1316 COFFEE RD STE D10, Modesto, CA 95355

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 Brad Pezoldt's NPI number?

The NPI number for Brad Pezoldt is 1669539292. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Brad Pezoldt located?

Brad Pezoldt practices at 1316 Coffee Rd Ste D10, Modesto, CA 95355. The listed phone number is (209) 524-2988.

What is Brad Pezoldt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Brad Pezoldt was last updated on August 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.