Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY DALE HARRELSON, D.M.D.
Active Sole ProprietorDR. BRADLEY DALE HARRELSON, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in NICEVILLE, Florida. NPI 1386836427 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · NICEVILLE, FL
Registration Details
- NPI Number
- 1386836427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2007 (18.821061555142 yrs)
- Last Updated
- Apr 22, 2024
- Licenses
-
3428-07 (MS)OS-519-16 (MS)DN24799 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4400 E HIGHWAY 20 STE 111NICEVILLE, FL, 325789735Browse FL providers · Browse ZIP 32578
- Phone
- 8508974171
- Fax
- 8508974622
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in NICEVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. BRYAN NELSON HOUSE | DDS | 1245289123 |
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.