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Organization

C.JEFFERY BRADDY,DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. C. JEFFERY BRADDY DDS (OWNER)
(336) 883-9300
Entity
Organization

Contact information

Practice address
404 LINDSAY ST, HIGH POINT, NC 27262-4879
(336) 883-9300
(336) 883-6668
Mailing address
404 LINDSAY ST, HIGH POINT, NC 27262-4879
(336) 883-9300
(336) 883-6668

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5796
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990969
NC
Enumeration date
05/08/2007
Last updated
08/22/2020
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