Bradley, Shannon

Bradley, Shannon is an individual health care provider with primary practice located at 114 Old Farms Rd , Cheshire CT 06410-3773. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bradley, Shannon can be contacted via phone (203) 271-1097.

Contact Information

Primary practice address
114 Old Farms Rd Cheshire CT 06410-3773
Phone: (203) 271-1097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 05954 Connecticut

Profile Details

NPI number 1710256680
LBN Legal business name Bradley, Shannon
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Dec 22nd, 2011 - 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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