Individual
DR. BRADLEY RAYMOND BENDUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 N SHORTRIDGE RD, SUITE #200, INDIANAPOLIS, IN 46219-4908
(317) 353-1062
(317) 357-5999
Mailing address
115 N SHORTRIDGE RD, SUITE #200, INDIANAPOLIS, IN 46219-4908
(317) 353-1062
(317) 357-5999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008546
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8546
INDIANA
IN
Enumeration date
08/25/2006
Last updated
12/30/2010
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