# DR. BRADFORD PAUL O'BRIEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124002332
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00007080 | WA | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5036371 | — | WA |
| 01 | — | 57080 | WDS PROVIDER NUMBER | VA |
| 01 | — | LABOR AND INDUSTRIES | L&I | WA |