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Dr. Bradley W Mitchell, DMD
General Practice Dentistry in Waterloo, Illinois
NPI 1720236128

Bradley W Mitchell is a General Practice Dentistry based in Waterloo, IL and is specialized in General Practice. Bradley W Mitchell practices in Waterloo, IL and has the professional credentials of DMD. The NPI Number for Bradley W Mitchell is 1720236128 and holds a License No. 19015801 (Illinois).

The current practice location address for Bradley W Mitchell is 413 W 3Rd St, Waterloo, IL and can be reached out via phone at 618-939-6128 and via fax at 618-939-6128.

Location: 413 W 3Rd St, Waterloo, IL, 62298-1358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720236128
Provider Name
Bradley W Mitchell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
413 W 3Rd St, Waterloo, IL, 62298-1358
Phone Number
618-939-6128
Fax Number
618-939-6128
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
413 W 3Rd St
City
Waterloo
State
Illinois
Zip
62298-1358
Phone Number
618-939-6128
Fax Number
618-939-6128
person
Provider Business Mailing Address Details
Address
413 W 3Rd St
City
Waterloo
State
Illinois
Zip
62298-1358
Phone Number
618-939-6128
Fax Number
618-939-6128
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19015801 (Illinois)
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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