Bradley, Emily J.

Bradley, Emily J. is an individual health care provider with primary practice located at 1091 Park Dr Ste A, Watkinsville GA 30677-2014. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bradley, Emily J. can be contacted via phone (706) 769-1994.

Contact Information

Primary practice address
1091 Park Dr Ste A Watkinsville GA 30677-2014
Phone: (706) 769-1994
Fax: (706) 769-1997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 010004 Georgia

Profile Details

NPI number 1326194564
LBN Legal business name Bradley, Emily J.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2007
Last updated Jan 21st, 2014 - about 11 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 1326194564 NPPES
Georgia MEDICAID 000300671J

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