Jonathan Paul Bradshaw, D.D.S.

General Practice Dentistry · Farragut, TN

Individual Active NPI

NPI number 1356508147

Practice location

11121 Kingston Pike Ste C
Farragut, TN 37934-2890
Phone
(865) 986-5310
Fax
(865) 986-5319

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NPI record

NPI
1356508147
Entity type
Individual (Type 1)
Enumeration date
May 20, 2008
Last updated
August 31, 2023
Certified
August 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8701 TN

About Dr. Bradshaw

Jonathan Paul Bradshaw, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11121 Kingston Pike Ste C, Farragut, TN 37934-2890. The NPI number 1356508147 was assigned on May 20, 2008 and the record was last updated on August 31, 2023.

Dr. Bradshaw lists a license in the registry: #8701 (TN) 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 Jonathan Paul Bradshaw, D.D.S.?

The NPI number is 1356508147.

What is the phone number of Dr. Bradshaw?

The phone number listed for the practice location is (865) 986-5310.

Where is Dr. Bradshaw located?

11121 Kingston Pike Ste C, Farragut, TN 37934-2890.

What is the taxonomy code for Dr. Bradshaw?

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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