Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY K JEREN, DDS
ActiveDR. BRADLEY K JEREN, DDS is a Dentist healthcare provider located in LAKE MILTON, Ohio. NPI 1538177431 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKE MILTON, OH
Registration Details
- NPI Number
- 1538177431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (20.05709674979 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OH17658 (OH)
Practice Information
- Address
-
17991 MAHONING AVELAKE MILTON, OH, 44429Browse OH providers · Browse ZIP 44429
- Phone
- 3306543253
- Fax
- 3306543252
- Primary Specialty
-
Dentist
122300000X
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.