Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHADWYCK R BRADLEY, DMD
ActiveDR. CHADWYCK R BRADLEY, DMD is a Dentist healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1679721054 is currently active in the NPPES registry. Verify at CMS.
Dentist · KIRTLAND AFB, NM
Registration Details
- NPI Number
- 1679721054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2008 (17.925896271338 yrs)
- Last Updated
- Mar 26, 2021
- Licenses
-
58624 (CA)D7651 (AZ)DD3940 (NM)
Practice Information
- Address
-
2050 A SECOND STREET SEKIRTLAND AFB, NM, 871175153Browse NM providers · Browse ZIP 87117
- Phone
- 5058463027
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
Other Dentist Providers in KIRTLAND AFB, NM
| Name | Credential | NPI |
|---|---|---|
| DR. LINDSAY ORTMAN | D.M.D | 1992294961 |
| BENJAMIN WANG | DDS | 1679139877 |
| JACOB SULLIVAN | — | 1922633080 |
| SATPAL S JUTLA | DMD | 1447839600 |
| MARIAH GORDON | — | 1588410294 |
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.