Bradford, Blair Andrew

Bradford, Blair Andrew is an individual health care provider with primary practice located at 11671 Jollyville Rd Ste 201 , Austin TX 78759-4141. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bradford, Blair Andrew can be contacted via phone (512) 249-7668.

Contact Information

Primary practice address
11671 Jollyville Rd Ste 201 Austin TX 78759-4141
Fax: (512) 219-1246
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 22027 Texas

Profile Details

NPI number 1215084546
LBN Legal business name Bradford, Blair Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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