Individual
DR. BRADLEY S TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
(804) 717-5275
(804) 748-4017
Mailing address
11971 IRON BRIDGE RD, CHESTER, VA 23831-1458
(804) 717-5275
(804) 748-4017
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401008539
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01363855
UNITED CONCORDIA
—
01
—
219899
ANTHEM BCBS
—
01
—
219900
ANTHEM BCBS
—
01
—
259641
ANTHEM BCBS
—
Enumeration date
06/29/2006
Last updated
06/07/2010
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