Braddent LLC

Organization Active NPI General Practice Dentistry · Calera, AL

NPI 1679960199 · NPPES record last updated Apr 22, 2015

Key facts

NPI
1679960199
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
5537 (AL)
Legal business name
BRADDENT LLC
Practice address
5075 Highway 31 Unit B
Calera, AL 35040-5165
Phone
(334) 467-6095
NPI assigned
Apr 22, 2015
Organization subpart
No

Authorized official

Name
Robert Bradford, DMD
Title
Owner
Phone
(334) 467-6095

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5075 Highway 31
#B
Calera, AL 35040
Phone (334) 467-6095

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 5537 AL Yes

Addresses

Primary practice location

5075 Highway 31 Unit B
Calera, AL 35040-5165

Mailing address

5075 Highway 31 Unit B
Calera, AL 35040-5165

Other providers in Calera, AL

All providers in Calera, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.