Jerry E. Bradley in Little Rock - Periodontics
Jerry E. Bradley - NPI 1295862357
Jerry E. Bradley is a Periodontics in Little Rock, Arkansas. Jerry E. Bradley practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerry E. Bradley is 1295862357. The last update date is 2007-07-08.
Jerry E. Bradley's current location address is 1225 Breckenridge Dr, Little Rock, Arkansas. You can contact this provider via phone number 5012254644 and fax number 5012254102. The mailing address for Jerry E. Bradley is 1225 Breckenridge Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry E. Bradley |
|---|---|
| Address | 1225 Breckenridge Dr, Little Rock, Arkansas |
| Phone Number | 5012254644 |
| Fax Number | 5012254102 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295862357 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1225 Breckenridge Dr |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722051558 |
| Phone Number | 5012254644 |
| Fax Number | 5012254102 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry E. Bradley by the Centers for Medicare & Medicaid Services?
The Jerry E. Bradley has been assigned the NPI (National Provider Identifier) 1295862357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jerry E. Bradley is physically located?
The Jerry E. Bradley is situated at the following address: 1225 Breckenridge Dr, Little Rock, AR 722051558.
What is Jerry E. Bradley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry E. Bradley is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When was the Jerry E. Bradley's 1295862357 issued?
The Jerry E. Bradley's 1295862357 was issued on 2007-02-27.
When was the information regarding Jerry E. Bradley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry E. Bradley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN