Bradford Family Dentistry, PL
Organization Active NPI General Practice Dentistry · Starke, FL
NPI 1790781623 · NPPES record last updated Sep 21, 2015
Key facts
- NPI
- 1790781623
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN 07445 (FL)
- Legal business name
- BRADFORD FAMILY DENTISTRY, PL
- Practice address
- 315 West Call Street
Starke, FL 32091-3113 - Phone
- (904) 964-7501
- Fax
- (904) 964-7503
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. William Marchese, D.M.D., R.PH.
- Title
- Partner
- Phone
- (904) 964-7501
Practitioners 3
-
David Leonard, DMD
-
Adam W Marchese, DMD
National Provider Directory
Locations
315 W Call St
Starke, FL 32091
Phone (904) 964-7501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN 07445 | FL | Yes |
Addresses
Primary practice location
315 West Call Street
Starke, FL 32091-3113
Mailing address
315 W Call St
Starke, FL 32091-3113
Phone (904) 964-7501
Other names
- Bradford Family Dentistry
Other providers in Starke, FL
- Nichole M Bigay
- Bill Marchese, PL
- Bio-Medical Applications of Florida, Inc.
- Alexandra Nicole Blanton
- Bradford Emergency Group LLC
- Bradford Terrace LLC
- Kasey Bradley
- Sarah C Bryan
- Felicia Bryant
- Courtney E Buchan
All providers in Starke, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2015. 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.