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Dr. Bradley J Clark, DDS
General Practice Dentistry in Broken Bow, Nebraska
NPI 1114052966

Bradley J Clark is a General Practice Dentistry based in Broken Bow, NE and is specialized in General Practice. Bradley J Clark practices in Broken Bow, NE and has the professional credentials of DDS. The NPI Number for Bradley J Clark is 1114052966 and holds a License No. 6126 (Nebraska).

The current practice location address for Bradley J Clark is 310 S 9Th Ave, Broken Bow, NE and can be reached out via phone at 308-872-2575.

Location: 310 S 9Th Ave, Broken Bow, NE, 68822-0117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114052966
Provider Name
Bradley J Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
310 S 9Th Ave, Broken Bow, NE, 68822-0117
Phone Number
308-872-2575
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5251 01 NE BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
310 S 9Th Ave
City
Broken Bow
State
Nebraska
Zip
68822-2014
Phone Number
308-872-2575
Fax Number
person
Provider Business Mailing Address Details
Address
310 S 9Th Ave
City
Broken Bow
State
Nebraska
Zip
68822-2014
Phone Number
308-872-2575
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6126 (Nebraska)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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