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Dr. Brad A Bagwell, DMD,PA
General Practice Dentistry in Cocoa, Florida
NPI 1982637989

Brad A Bagwell is a General Practice Dentistry based in Cocoa, FL and is specialized in General Practice. Brad A Bagwell practices in Cocoa, FL and has the professional credentials of DMD,PA. The NPI Number for Brad A Bagwell is 1982637989 and holds a License No. DN15097 (Florida).

The current practice location address for Brad A Bagwell is 7171 N Cocoa Blvd, Cocoa, FL and can be reached out via phone at 321-631-5558 and via fax at 321-632-3226.

Location: 7171 N Cocoa Blvd, Cocoa, FL, 32927-5094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982637989
Provider Name
Brad A Bagwell
Credential
DMD,PA
Provider Entity Type
Individual
Gender
Male
Address
7171 N Cocoa Blvd, Cocoa, FL, 32927-5094
Phone Number
321-631-5558
Fax Number
321-632-3226
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7171 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32927-5094
Phone Number
321-631-5558
Fax Number
321-632-3226
person
Provider Business Mailing Address Details
Address
7171 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32927-5094
Phone Number
321-631-5558
Fax Number
321-632-3226
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN15097 (Florida)
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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