Newberry, Bradley Michael

Newberry, Bradley Michael is an sole proprietor health care provider with primary practice located at 4350 S National Ave , Springfield MO 65810-2607. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Newberry, Bradley Michael can be contacted via phone (417) 883-7668.

Contact Information

Primary practice address
4350 S National Ave Springfield MO 65810-2607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2002013211 Missouri

Profile Details

NPI number 1922290725
LBN Legal business name Newberry, Bradley Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 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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