Smith, Bradley John

Smith, Bradley John is an individual health care provider with primary practice located at Psc 476 Box1159, Fpo AP 96322. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Bradley John can be contacted via phone (314) 252-3747.

Contact Information

Primary practice address
Psc 476 Box1159 Fpo AP 96322
Phone: (314) 252-3747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019024984 Illinois

Profile Details

NPI number 1194701524
LBN Legal business name Smith, Bradley John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 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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