Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY PAUL LACONI, DDS
Active Sole ProprietorGeneral Dentistry · CHESTERFIELD, IN
Registration Details
- NPI Number
- 1578587630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.80228119633 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12008802 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 SKYVIEW DRCHESTERFIELD, IN, 460171057Browse IN providers · Browse ZIP 46017
- Phone
- 7653780271
- Fax
- 7653784364
- Primary Specialty
-
General Dentistry
1223G0001X
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.