Bradford, Kenneth

Bradford, Kenneth is an sole proprietor health care provider with primary practice located at 824 S Fleishel Ave , Tyler TX 75701-2016. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bradford, Kenneth can be contacted via phone (903) 597-0460.

Contact Information

Primary practice address
824 S Fleishel Ave Tyler TX 75701-2016
Phone: (903) 597-0460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9287 Texas

Profile Details

NPI number 1447326400
LBN Legal business name Bradford, Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 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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