# C.JEFFERY BRADDY,DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225241730
- **Authorized official:** DR. C. JEFFERY BRADDY DDS (OWNER)
- **Authorized official phone:** (336) 883-9300

## Contact information

- **Practice address:** 404 LINDSAY ST, HIGH POINT, NC 27262-4879
- **Practice address phone:** (336) 883-9300
- **Practice address fax:** (336) 883-6668
- **Mailing address:** 404 LINDSAY ST, HIGH POINT, NC 27262-4879
- **Mailing address phone:** (336) 883-9300
- **Mailing address fax:** (336) 883-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5796 | NC | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8990969 | — | NC |