Bradley John Nozzarella, DDS

Dentist · Elk River, MN

Individual Active NPI

NPI number 1811671456

Practice location

18223 Carson Ct NW
Elk River, MN 55330-2733
Phone
(763) 441-7030

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NPI record

NPI
1811671456
Entity type
Individual (Type 1)
Enumeration date
June 14, 2023
Last updated
June 14, 2023
Certified
June 13, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D14910 MN

About Dr. Nozzarella

Bradley John Nozzarella, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 18223 Carson Ct NW, Elk River, MN 55330-2733. The NPI number 1811671456 was assigned on June 14, 2023 and the record was last updated on June 14, 2023.

Dr. Nozzarella lists a license in the registry: #D14910 (MN) 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 Bradley John Nozzarella, DDS?

The NPI number is 1811671456.

What is the phone number of Dr. Nozzarella?

The phone number listed for the practice location is (763) 441-7030.

Where is Dr. Nozzarella located?

18223 Carson Ct NW, Elk River, MN 55330-2733.

What is the taxonomy code for Dr. Nozzarella?

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.

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