Mark F. Bradshaw, DDS
Dentist · Waconia, MN
Practice location
24 S Olive StWaconia, MN 55387-1404
- Phone
- (952) 442-2518
- Fax
- (952) 442-5040
NPI record
- NPI
- 1114141595
- Entity type
- Individual (Type 1)
- Enumeration date
- April 13, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D10725 | MN |
About Dr. Bradshaw
Mark F. Bradshaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 24 S Olive St, Waconia, MN 55387-1404. The NPI number 1114141595 was assigned on April 13, 2007 and the record was last updated on July 8, 2007.
Dr. Bradshaw lists a license in the registry: #D10725 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark F. Bradshaw, DDS?
The NPI number is 1114141595.
What is the phone number of Dr. Bradshaw?
The phone number listed for the practice location is (952) 442-2518.
Where is Dr. Bradshaw located?
24 S Olive St, Waconia, MN 55387-1404.
What is the taxonomy code for Dr. Bradshaw?
The primary taxonomy code is 122300000X – Dentist.
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.
Other Dentist providers in Waconia
- Brandon James Penaz, DDS8775 Airport Rd