Alijah Bradley, DDS

General Practice Dentistry · Tamarac, FL

Individual Active NPI

NPI number 1003224148

Practice location

4267 W Commercial Blvd
Tamarac, FL 33319-3305
Phone
(954) 677-3202
Fax
(954) 677-3201

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NPI record

NPI
1003224148
Entity type
Individual (Type 1)
Enumeration date
July 31, 2014
Last updated
October 29, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN 20845 FL

Mailing address

19255 NE 10TH Ave Apt 225
Miami, FL 33179-5936
Phone
(734) 904-4589

About Dr. Bradley

Alijah Bradley, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4267 W Commercial Blvd, Tamarac, FL 33319-3305. The NPI number 1003224148 was assigned on July 31, 2014 and the record was last updated on October 29, 2014.

Dr. Bradley lists a license in the registry: #DN 20845 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alijah Bradley, DDS?

The NPI number is 1003224148.

What is the phone number of Dr. Bradley?

The phone number listed for the practice location is (954) 677-3202.

Where is Dr. Bradley located?

4267 W Commercial Blvd, Tamarac, FL 33319-3305.

What is the taxonomy code for Dr. Bradley?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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