Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD HARGRAVE, DMD
ActiveDR. BRAD HARGRAVE, DMD is a General Dentistry healthcare provider located in JERSEYVILLE, Illinois. NPI 1508933730 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JERSEYVILLE, IL
Registration Details
- NPI Number
- 1508933730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.664422857822 yrs)
- Last Updated
- Mar 4, 2024
- Licenses
-
019.026811 (IL)019026811 (IL)
Practice Information
- Address
-
411 MAPLE SUMMIT RDJERSEYVILLE, IL, 62052Browse IL providers · Browse ZIP 62052
- Phone
- 6184986493
- Fax
- 6184986493
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in JERSEYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN KYLE DAWSON | DMD | 1720182355 |
| DR. DAVID J GOETTEN | D.M.D. | 1770620643 |
| DR. JAMES E ADAMS | D.D.S. | 1629115407 |
| DR. STEPHANIE Z HOUSEMAN | DMD | 1114179876 |
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.