Bradford, George M

Bradford, George M is an individual health care provider with primary practice located at 5741 Carmichael Pkwy , Montgomery AL 36117-2340. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bradford, George M can be contacted via phone (334) 277-3492.

Contact Information

Primary practice address
5741 Carmichael Pkwy Montgomery AL 36117-2340
Phone: (334) 277-3492
Fax: (334) 277-9432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3150 Alabama

Profile Details

NPI number 1174624506
LBN Legal business name Bradford, George M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 30th, 2010 - about 14 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 1174624506 NPPES
Alabama MEDICAID 000090657
Alabama Other 51090657
Alabama Other 51047565
Alabama Other 51005719
Alabama Other 511-05901
Alabama Other 51549612
Alabama Other 650035
Alabama MEDICAID 009910120
Alabama MEDICAID 009983310

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