J. Dwight Bradshaw DDS

General Practice Dentistry · Suffolk, VA

Organization Active NPI

NPI number 1568614584

Practice location

5501 Bennetts Pasture Rd Ste D
Suffolk, VA 23435-1500
Phone
(757) 484-1444
Fax
(757) 484-3712

Open in Google Maps

NPI record

NPI
1568614584
Entity type
Organization (Type 2)
Enumeration date
October 22, 2008
Last updated
October 22, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. J.Dwight Bradshaw, DDS
Title
Owner
Phone
(757) 484-1444

About J. Dwight Bradshaw DDS

J. Dwight Bradshaw DDS is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435-1500. The NPI number 1568614584 was assigned on October 22, 2008 and the record was last updated on October 22, 2008.

The authorized official for this organization is Dr. J.Dwight Bradshaw, DDS, Owner.

Frequently asked questions

What is the NPI number of J. Dwight Bradshaw DDS?

The NPI number is 1568614584.

What is the phone number of J. Dwight Bradshaw DDS?

The phone number listed for the practice location is (757) 484-1444.

Where is J. Dwight Bradshaw DDS located?

5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435-1500.

What is the taxonomy code for J. Dwight Bradshaw DDS?

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.

Other General Practice Dentistry providers in Suffolk

All General Practice Dentistry providers in Suffolk, VA →