Bradford, Brent A

Bradford, Brent A is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 4N, Liverpool NY 13088-3807. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bradford, Brent A can be contacted via phone (315) 458-8844.

Contact Information

Primary practice address
5100 W Taft Rd Suite 4N Liverpool NY 13088-3807
Phone: (315) 458-8844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048823 New York

Profile Details

NPI number 1396783114
LBN Legal business name Bradford, Brent A
Credentials DDS, PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
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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