Individual
DR. DAVID A BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
349 EAST MAIN STREET, ADAMSVILLE, TN 38310-0260
(731) 632-1680
(731) 632-1680
Mailing address
PO BOX 260, ADAMSVILLE, TN 38310-0260
(731) 632-1680
(731) 632-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4159
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107857
BLUE CROSS BLUE SHIELD
TN
01
—
641378
UNITED CONCORDIA
PA
Enumeration date
02/06/2007
Last updated
07/08/2007
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