Individual
DR. BRADLEY ROSS CARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., MD
Contact information
Practice address
222 S WOODS MILL RD STE 720N, CHESTERFIELD, MO 63017
(314) 434-0493
(314) 434-7883
Mailing address
222 S WOODS MILL RD STE 720N, CHESTERFIELD, MO 63017-3650
(314) 434-0493
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2018008864
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D5998
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2018228864
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
12/12/2022
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