National Provider Identifier Database

BRADLEY A ELI DENTAL CORPORATION
Orofacial Pain

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.


Contact Information

BRADLEY A. ELI DENTAL CORPORATION
2095 W VISTA WAY STE 218
VISTA, CA92083-6029
Phone: 760-436-6365
Fax: 760-436-5123
Website:
Specialty Taxonomy Code
* Orofacial Pain 1223X2210X
Oral Medicinist 125Q00000X

* Indicates primary specialty

NPI Profile & details for BRADLEY A. ELI DENTAL CORPORATION

NPI Number 1962533919
Legal business name
LBN
BRADLEY A. ELI DENTAL CORPORATION
Authorized official BRADLEY ELI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 05/11/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

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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