Jon P Bradrick, DDS
Dentist, Oral and Maxillofacial Surgery in Cleveland, OH. Individual provider (NPI-1).
NPI number1477581908
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477581908
- Entity type
- Individual (NPI-1)
- Name
- Jon P Bradrick
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 30018571 | OH | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | TX 19114 | TX |
Practice location
2500 Metrohealth DrMhmc-Surgery/Oral & Max
Cleveland, OH 44109-1900
Phone 216-778-4488
Mailing address
2500 Metrohealth DrMhmc-Surgery/Oral & Max
Cleveland, OH 44109-1900
Phone 216-778-4488
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