Individual
DR. ROBERTS JOSEPH BRADFORD SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 TUSCULUM BLVD, SUITE 1, GREENEVILLE, TN 37745-3951
(423) 638-5141
(423) 638-5131
Mailing address
600 TUSCULUM BLVD, SUITE 1, GREENEVILLE, TN 37745-3951
(423) 638-5141
(423) 638-5131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS001655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3212523
—
TN
Enumeration date
11/03/2005
Last updated
07/08/2007
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