Individual
DR. BRADLEY JAY PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8358 N LOOP 1604 W STE 101, SAN ANTONIO, TX 78249-3980
(210) 695-1116
(210) 695-1108
Mailing address
8358 N LOOP 1604 W STE 101, SAN ANTONIO, TX 78249-3980
(210) 695-1116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5346802-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27494
TX
Other
Enumeration date
05/01/2007
Last updated
06/25/2019
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