Individual
DR. GEORGE M BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5741 CARMICHAEL PKWY, MONTGOMERY, AL 36117-2340
(334) 277-3492
(334) 277-9432
Mailing address
5741 CARMICHAEL PKWY, MONTGOMERY, AL 36117-2340
(334) 277-3492
(334) 277-9432
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000090657
—
AL
05
—
009910120
—
AL
05
—
009983310
—
AL
01
—
51005719
BCBS AL
AL
01
—
51047565
BCBS OF ALABAMA
AL
01
—
51090657
BCBS OF ALABAMA
AL
01
—
511-05901
BC/BC OF ALABAMA
AL
01
—
51549612
BCBS OF ALABAMA
AL
01
—
650035
UNITED CONCORDIA
AL
Enumeration date
09/26/2006
Last updated
06/30/2010
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