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Contact Information

RICHARD B BRADLEY JR, DDS
187 SOUTH MAIN ST
HALIFAX, VA24558
 Phone: 434-476-7885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RICHARD B BRADLEY JR · (Male)

NPI # 1154546869
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0401005683
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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