Bradley, James Russell

Bradley, James Russell is an individual health care provider with primary practice located at 3334 Longmire Dr , College Station TX 77845-5812. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bradley, James Russell can be contacted via phone (979) 693-1511.

Contact Information

Primary practice address
3334 Longmire Dr College Station TX 77845-5812
Phone: (979) 693-1511
Fax: (979) 695-1403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11239 Texas

Profile Details

NPI number 1194948745
LBN Legal business name Bradley, James Russell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
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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