Individual
DR. BRADLEY L MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34155 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-3221
(440) 327-7950
(440) 327-1825
Mailing address
34155 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-3221
(440) 327-7950
(440) 327-1825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21626
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159282
—
OH
Enumeration date
11/13/2007
Last updated
07/18/2016
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