Bradley Allen Bader, DDS

General Practice Dentistry · Tamms, IL

Individual Active NPI

NPI number 1508986357

Practice location

290 Railroad St
Tamms, IL 62988-5038
Phone
(618) 253-8450

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NPI record

NPI
1508986357
Entity type
Individual (Type 1)
Enumeration date
March 29, 2007
Last updated
June 17, 2020
Certified
June 17, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14176 MO

About Dr. Bader

Bradley Allen Bader, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 290 Railroad St, Tamms, IL 62988-5038. The NPI number 1508986357 was assigned on March 29, 2007 and the record was last updated on June 17, 2020.

Dr. Bader lists a license in the registry: #14176 (MO) 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 Bradley Allen Bader, DDS?

The NPI number is 1508986357.

What is the phone number of Dr. Bader?

The phone number listed for the practice location is (618) 253-8450.

Where is Dr. Bader located?

290 Railroad St, Tamms, IL 62988-5038.

What is the taxonomy code for Dr. Bader?

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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