Allison Jack Bradley, DDS
Individual provider Active NPI Dentist · Adamsville, TN
NPI 1144874124 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1144874124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS0000011063 (TN)
- Practice address
- 349 E Main St
Adamsville, TN 38310-2321 - Phone
- (731) 632-1680
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000011063 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Family Dentistry Inc | Current |
Accepting new patients | |
| David Bradley DDS Inc. | Current |
Accepting new patients |
Locations
349 E Main St
Adamsville, TN 38310
Phone (731) 632-1680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000011063 | TN | Yes |
Addresses
Primary practice location
349 E Main St
Adamsville, TN 38310-2321
Mailing address
PO Box 260
Adamsville, TN 38310-0260
Phone (731) 632-1680
Other providers in Adamsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.