Individual
DR. BRADLEY ALAN WURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
127 WELL PARK LN, CAMPBELLSVILLE, KY 42718-4999
(270) 469-1156
(270) 469-1158
Mailing address
39 BOGLE OFFICE PARK DR, SOMERSET, KY 42503-2810
(606) 451-0888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8507 919
KY
Other
Enumeration date
07/16/2008
Last updated
02/08/2021
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