Young, Bradley Hamblin

Young, Bradley Hamblin is an individual health care provider with primary practice located at 602 E Main St Suite E, Lexington SC 29072-3729. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Bradley Hamblin can be contacted via phone (803) 957-2440.

Contact Information

Primary practice address
602 E Main St Suite E Lexington SC 29072-3729
Phone: (803) 957-2440
Fax: (803) 957-2547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3672 South Carolina

Profile Details

NPI number 1598701831
LBN Legal business name Young, Bradley Hamblin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598701831 NPPES
South Carolina MEDICAID ZX3672

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