Individual
DR. BRADLEY WILLIAM STUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1460 N GREEN ST, SUITE 300, BROWNSBURG, IN 46112-8117
(317) 852-6620
(317) 852-6680
Mailing address
1460 N GREEN ST, SUITE 300, BROWNSBURG, IN 46112-8117
(317) 852-6620
(317) 852-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010504A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
1841230638
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437880
—
IN
Enumeration date
06/08/2006
Last updated
12/13/2018
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