Mark S. Bradel, DDS

General Practice Dentistry · Roscoe, IL

Individual Active NPI

NPI number 1235240730

Practice location

5647 Elevator Rd
Roscoe, IL 61073-8879
Phone
(815) 623-2300
Fax
(815) 623-6707

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NPI record

NPI
1235240730
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Bradel

Mark S. Bradel, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5647 Elevator Rd, Roscoe, IL 61073-8879. The NPI number 1235240730 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Mark S. Bradel, DDS?

The NPI number is 1235240730.

What is the phone number of Dr. Bradel?

The phone number listed for the practice location is (815) 623-2300.

Where is Dr. Bradel located?

5647 Elevator Rd, Roscoe, IL 61073-8879.

What is the taxonomy code for Dr. Bradel?

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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