Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY J CLARK, DDS
Active Sole ProprietorDR. BRADLEY J CLARK, DDS is a General Dentistry healthcare provider located in BROKEN BOW, Nebraska. NPI 1114052966 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BROKEN BOW, NE
Registration Details
- NPI Number
- 1114052966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.516993566626 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6126 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 S 9TH AVEBROKEN BOW, NE, 688222014Browse NE providers · Browse ZIP 68822
- Phone
- 3088722575
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BROKEN BOW, NE
| Name | Credential | NPI |
|---|---|---|
| DR. STACY LEIGH SOLOMON | D.D.S. | 1720158280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.