Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK F BRADSHAW, DDS
Active Sole ProprietorDR. MARK F BRADSHAW, DDS is a Dentist healthcare provider located in WACONIA, Minnesota. NPI 1114141595 is currently active in the NPPES registry. Verify at CMS.
Dentist · WACONIA, MN
Registration Details
- NPI Number
- 1114141595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.376876523339 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D10725 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 S OLIVE STWACONIA, MN, 553871404Browse MN providers · Browse ZIP 55387
- Phone
- 9524422518
- Fax
- 9524425040
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WACONIA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. BRANDON JAMES PENAZ | DDS | 1538428909 |
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.