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Contact Information

BRADLEY S LAIRD, DDS
2805 E 29TH ST
JOPLIN, MO64804-3305
 Phone: 417-782-3636
 Fax: 417-206-7844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRADLEY S LAIRD · (Male)

NPI Number 1437357282
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2007012655
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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