Dr. Taylor C Bradshaw, DMD
Dentist, General Practice in Putnam, Connecticut
1013655364- Practice location
- 202 Pomfret St, Putnam, CT 06260-1833
- Phone
- 609-637-9178
- Fax
- —
- Last updated
- October 31, 2023
Taylor Cherise Bradshaw is a Dentist, General Practice based in Putnam, CT. Taylor Cherise Bradshaw practices in Putnam, CT and has the professional credentials of DMD. The NPI Number for Taylor Cherise Bradshaw is 1013655364 and holds a License No. 13859 (CT). The current practice location address for Taylor Cherise Bradshaw is 202 Pomfret St, Putnam, CT 06260-1833 and can be reached out via phone at 609-637-9178.
Provider Profile Details
- NPI Number
- 1013655364
- Provider Name
- Taylor Cherise Bradshaw
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 202 Pomfret St, Putnam, CT 06260-1833
- Phone Number
- 609-637-9178
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 26, 2022
- Last Update Date
- October 31, 2023
- Certification Date
- October 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 202 Pomfret St
Putnam, CT 06260-1833 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1833
- Phone Number
- 609-637-9178
Provider Business Mailing Address Details
- Address
- 5 Holmes Dr
Windsor, CT 06095-3969 - City
- Windsor
- State
- CT
- Zip
- 06095-3969
- Phone Number
- 860-878-8097
License Information
- License Number
- 13859
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Taylor C Bradshaw, DMD?
The NPI number of Dr. Taylor C Bradshaw, DMD is 1013655364. It was assigned on May 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Taylor C Bradshaw, DMD?
Dr. Taylor C Bradshaw, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 13859.
Where does Dr. Taylor C Bradshaw, DMD practice?
The practice location is 202 Pomfret St, Putnam, CT 06260-1833. The office can be reached at 609-637-9178 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013655364 directly on the NPPES registry website.