Mcconnell, Bradley A.

Mcconnell, Bradley A. is an individual health care provider with primary practice located at 6029 Harris Pkwy , Fort Worth TX 76132-4103. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcconnell, Bradley A. can be contacted via phone (817) 423-2223.

Contact Information

Primary practice address
6029 Harris Pkwy Fort Worth TX 76132-4103
Phone: (817) 423-2223
Fax: (817) 423-2238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12595 Texas

Profile Details

NPI number 1659376325
LBN Legal business name Mcconnell, Bradley A.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1659376325 NPPES
Other 591273 UNITED CONCORDIA
Other D12595 UNITED CONCORDIA

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