Craig A. Bradford, Dmd
Dentist, Pediatric Dentistry in Natchez, MS. Organization (NPI-2).
NPI number1154094845
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1154094845
- Entity type
- Organization (NPI-2)
- Legal business name
- Craig A. Bradford, Dmd
- Organization subpart
- No
- Enumeration date
- Jul 28, 2021
- Certification date
- Jul 28, 2021
- Last updated
- Jul 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
306 Highland BlvdNatchez, MS 39120-4611
Phone 601-442-9702 · Fax 601-445-5341
Mailing address
306 Highland BlvdNatchez, MS 39120-4611
Phone 601-442-9702 · Fax 601-445-5341
Authorized official
Andrea Bradford
Office Manager
6014429702
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