Trotter, Bradley S

Trotter, Bradley S is an individual health care provider with primary practice located at 11971 Iron Bridge Rd , Chester VA 23831-1458. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Trotter, Bradley S can be contacted via phone (804) 717-5275.

Contact Information

Primary practice address
11971 Iron Bridge Rd Chester VA 23831-1458
Phone: (804) 717-5275
Fax: (804) 748-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401008539 Virginia

Profile Details

NPI number 1932137825
LBN Legal business name Trotter, Bradley S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 7th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932137825 NPPES
Other 01363855 UNITED CONCORDIA
Other 219900 UNITED CONCORDIA
Other 259641 UNITED CONCORDIA
Other 219899 UNITED CONCORDIA

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