Individual provider · NPI-1

Dr. Stephen W Bradford, DMD

Dentist, Orthodontics and Dentofacial Orthopedics · Palm Beach Gardens, FL

NPI number1871776773

StatusActive

Last updated in NPPESDec 13, 2007

Details

NPI: 1871776773
Entity type: Individual (NPI-1)
Name: Dr. Stephen W Bradford
Credential: DMD
Sex: Male
Sole proprietor: No
Enumeration date: Dec 13, 2007
Last updated: Dec 13, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223X0400X	Dentist, Orthodontics and Dentofacial Orthopedics	DN12129	FL	Yes

Practice location

11380 Prosperity Farms Rd
Suite 117
Palm Beach Gardens, FL 33410-3474

Phone 561-694-3006 · Fax 561-625-1732

Mailing address

11380 Prosperity Farms Rd
Suite 117
Palm Beach Gardens, FL 33410-3474

Phone 561-694-3006 · Fax 561-625-1732

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