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Contact Information

KATIE E BRADFORD, DDS
139 ROSE GARDEN LN
GOODLETTSVILLE, TN37072-3164
 Phone: 573-275-3143
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KATIE E BRADFORD · (Female)

NPI Number 1790040616
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/06/2012
Last updated 07/11/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 10221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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