Individual
DR. JONATHAN PAUL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11121 KINGSTON PIKE STE C, FARRAGUT, TN 37934-2890
(865) 986-5310
(865) 986-5319
Mailing address
11121 KINGSTON PIKE STE C, FARRAGUT, TN 37934-2890
(865) 986-5310
(865) 986-5319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8701
TN
Other
Enumeration date
05/20/2008
Last updated
08/31/2023
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