Organization
BRADLEY FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL BRADLEY DDS (DENTIST)
(731) 646-0180
Entity
Organization
Contact information
Practice address
349 E MAIN ST, ADAMSVILLE, TN 38310-2321
(731) 632-1680
(731) 632-1680
Mailing address
PO BOX 260, ADAMSVILLE, TN 38310-0260
(731) 632-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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