Brad Hendrickson D.D.S., Inc.
Organization Active NPI General Practice Dentistry · Ashland, OH
NPI 1235256124 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1235256124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30-01-6177 (OH)
- Legal business name
- BRAD HENDRICKSON D.D.S., INC.
- Practice address
- 910 Katherine Ave
Ashland, OH 44805-0386 - Phone
- (419) 289-3325
- Fax
- (419) 289-3546
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Brad R Hendrickson, D.D.S.
- Title
- Owner
- Phone
- (419) 289-3325
Practitioners 2
-
Bradford R. Hendrickson, D.D.S.
-
Robert Matz, D.D.S.
National Provider Directory
Locations
910 Katherine Ave
Ashland, OH 44805
Phone (419) 289-3325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 30-01-6177 | OH | Yes |
Addresses
Primary practice location
910 Katherine Ave
Ashland, OH 44805-0386
Mailing address
910 Katherine Ave
Ashland, OH 44805-0386
Phone (419) 289-3325
Other providers in Ashland, OH
- Amanda Lynn Bowling
- Amanda Bowman
- Victoria Bowman
- Beth A Boyd
- Christopher D Boyd
- Kailey Bradley
- Wayne Stanford Brechbuhler
- David T. Brennan
- Tylar Brennstuhl
- John Brent
All providers in Ashland, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.