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Contact Information

BRADFORD L PICOT, DDS, P.A.
1520 SOUTH BLVD
SUITE 110
CHARLOTTE, NC28203-4786
 Phone: 704-335-8266
 Fax: 704-335-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for BRADFORD L PICOT DDS PA · (Female)

NPI Number 1003048752
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2009
Last updated 08/13/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 8158
  • NC Medicaid 5908420
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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