Angell, Bradley G

Angell, Bradley G is an individual health care provider with primary practice located at 10412 Shelbyville Rd , Louisville KY 40223-3120. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Angell, Bradley G can be contacted via phone (502) 425-3350.

Contact Information

Primary practice address
10412 Shelbyville Rd Louisville KY 40223-3120
Phone: (502) 425-3350
Fax: (502) 425-3789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4934 Kentucky

Profile Details

NPI number 1639244619
LBN Legal business name Angell, Bradley G
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639244619 NPPES
Indiana Other 1695639 UCCI
Indiana Other 506626 UCCI

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