person
Bradley Randall Congleton, DMD
Dentist in Louisville, Kentucky
NPI 1952754749

Bradley Randall Congleton is a Dentist based in Louisville, KY. Bradley Randall Congleton practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Bradley Randall Congleton is 1952754749 and holds a License No. 9824 (Kentucky).

The current practice location address for Bradley Randall Congleton is 2215 Portland Ave, Louisville, KY and can be reached out via phone at 502-774-8631 and via fax at 502-996-8309.

Location: 2215 Portland Ave, Louisville, KY, 40295-0244
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Provider Profile Details
NPI Number
1952754749
Provider Name
Bradley Randall Congleton
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2215 Portland Ave, Louisville, KY, 40295-0244
Phone Number
502-774-8631
Fax Number
502-996-8309
Provider Enumeration Date
07/18/2016
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100435410 05 KY
institution
Provider Business Practice Location Address Details
Address
2215 Portland Ave
City
State
Zip
40212-1033
Phone Number
502-774-8631
Fax Number
502-996-8309
person
Provider Business Mailing Address Details
Address
2215 Portland Ave
City
State
Zip
40212-1033
Phone Number
502-774-8631
Fax Number
502-996-8309
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
License No.
12014346A (Indiana)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
9824 (Kentucky)
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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