Active NPIIndividual provider

Destiny Bradley

Dentist in Auburn, Massachusetts

NPI Number1942900246
Practice location
434 S Bridge St Ste B, Auburn, MA 01501-4423
Fax
—
Last updated
July 10, 2024

Destiny Bradley is a Dentist based in Auburn, MA. Destiny Bradley practices in Auburn, MA. The NPI Number for Destiny Bradley is 1942900246 and holds a License No. 14158 (CT). The current practice location address for Destiny Bradley is 434 S Bridge St Ste B, Auburn, MA 01501-4423 and can be reached out via phone at 508-752-6649.

Provider Profile Details

NPI Number
1942900246
Provider Name
Destiny Bradley
Provider Entity Type
Individual
Gender
Female
Address
434 S Bridge St Ste B, Auburn, MA 01501-4423
Phone Number
508-752-6649
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2023
Last Update Date
July 10, 2024
Certification Date
July 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
434 S Bridge St Ste B
Auburn, MA 01501-4423
City
Auburn
Zip
01501-4423
Phone Number
508-752-6649
Auburn, MA 01501Get directions →

Provider Business Mailing Address Details

Address
19 Fales St
Worcester, MA 01606-2021
City
Worcester
State
MA
Zip
01606-2021
Phone Number
774-262-2923

License Information

License Number
14158
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Destiny Bradley?

The NPI number of Destiny Bradley is 1942900246. It was assigned on March 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Destiny Bradley?

Destiny Bradley is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 14158.

Where does Destiny Bradley practice?

The practice location is 434 S Bridge St Ste B, Auburn, MA 01501-4423. The office can be reached at 508-752-6649 (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 1942900246 directly on the NPPES registry website.

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