Danton Lafey Bradshaw, D.D.S.

Dentist · Kimberly, ID

Individual Active NPI

NPI number 1730575671

Practice location

702 Center St W
Kimberly, ID 83341-1722
Phone
(208) 423-6444
Fax
(208) 423-6903

Open in Google Maps

NPI record

NPI
1730575671
Entity type
Individual (Type 1)
Enumeration date
April 7, 2015
Last updated
April 7, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D4642 ID

About Dr. Bradshaw

Danton Lafey Bradshaw, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 702 Center St W, Kimberly, ID 83341-1722. The NPI number 1730575671 was assigned on April 7, 2015 and the record was last updated on April 7, 2015.

Dr. Bradshaw lists a license in the registry: #D4642 (ID) 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 Danton Lafey Bradshaw, D.D.S.?

The NPI number is 1730575671.

What is the phone number of Dr. Bradshaw?

The phone number listed for the practice location is (208) 423-6444.

Where is Dr. Bradshaw located?

702 Center St W, Kimberly, ID 83341-1722.

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.