Bradford A Carl, DDS
Individual provider Active NPI Dentist · Carmel, CA
NPI 1720129513 · NPPES record last updated Jun 3, 2021
Key facts
- NPI
- 1720129513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 28129 (CA)
- Practice address
- 26485 Carmel Rancho Blvd
Suite 3
Carmel, CA 93923-8706 - Phone
- (831) 624-2111
- Fax
- (831) 624-3352
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 28129 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28129 | CA | Yes |
Addresses
Primary practice location
26485 Carmel Rancho Blvd
Suite 3
Carmel, CA 93923-8706
Mailing address
26485 Carmel Rancho Blvd
Suite 3
Carmel, CA 93923-8706
Phone (831) 624-2111
Other providers in Carmel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. 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.