Individual
DR. BRAD ALLEN PENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1862 SHYVILLE RD, PIKETON, OH 45661-9749
(740) 289-9708
(740) 289-9716
Mailing address
1862 SHYVILLE RD, PIKETON, OH 45661-9749
(740) 289-9708
(740) 289-9716
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30019689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472953
—
OH
Enumeration date
07/27/2006
Last updated
07/09/2007
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