Individual
DR. BRADLEY THOMAS HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
317 7TH ST. W., PALMETTO, FL 34221-5206
(941) 729-6883
Mailing address
317 7TH ST. W., PALMETTO, FL 34221-5206
(941) 729-6883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QA018GP5
—
GA
Enumeration date
07/02/2008
Last updated
07/08/2010
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