Active NPIIndividual providerSole proprietor

Dr. Richard S Bradway, DDS

Dentist in Vineland, New Jersey

NPI Number1962797472
Practice location
1175 Karin St, Vineland, NJ 08360-4208
Fax
856-691-3003
Last updated
June 13, 2011

Richard S Bradway is a Dentist based in Vineland, NJ. Richard S Bradway practices in Vineland, NJ and has the professional credentials of DDS. The NPI Number for Richard S Bradway is 1962797472 and holds a License No. DI9209 (NJ). The current practice location address for Richard S Bradway is 1175 Karin St, Vineland, NJ 08360-4208 and can be reached out via phone at 856-691-0985 and via fax at 856-691-3003.

Provider Profile Details

NPI Number
1962797472
Provider Name
Richard S Bradway
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1175 Karin St, Vineland, NJ 08360-4208
Phone Number
856-691-0985
Fax Number
856-691-3003
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2011
Last Update Date
June 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1175 Karin St
Vineland, NJ 08360-4208
Zip
08360-4208
Phone Number
856-691-0985
Fax Number
856-691-3003
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1175 Karin St
Vineland, NJ 08360-4208
City
Vineland
State
NJ
Zip
08360-4208
Phone Number
856-691-0985
Fax Number
856-691-3003

License Information

License Number
DI9209
License State
NJ
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 Dr. Richard S Bradway, DDS?

The NPI number of Dr. Richard S Bradway, DDS is 1962797472. It was assigned on June 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard S Bradway, DDS?

Dr. Richard S Bradway, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI9209.

Where does Dr. Richard S Bradway, DDS practice?

The practice location is 1175 Karin St, Vineland, NJ 08360-4208. The office can be reached at 856-691-0985 (phone) or 856-691-3003 (fax).

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 1962797472 directly on the NPPES registry website.

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