Bradley, Brent J.
Bradley, Brent J. is an individual health care provider with primary practice located at 700 Sheridan Lake Rd , Rapid City SD 57702-2407. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bradley, Brent J. can be contacted via phone (605) 341-3068.Contact Information
Primary practice address
700 Sheridan Lake Rd
Rapid City SD 57702-2407
Phone: (605) 341-3068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | M864 | South Dakota |
Profile Details
| NPI number | 1124088166 |
|---|---|
| LBN Legal business name | Bradley, Brent J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Aug 28th, 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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