Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY R JURGENSMEIER, DDS
ActiveDR. BRADLEY R JURGENSMEIER, DDS is a Dentist healthcare provider located in SHALLOTTE, North Carolina. NPI 1710407606 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHALLOTTE, NC
Registration Details
- NPI Number
- 1710407606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2017 (8.9658760338506 yrs)
- Last Updated
- May 16, 2023
- Licenses
-
D009785 (AZ)12154 (NC)
Practice Information
- Address
-
4902 MAIN ST STE ASHALLOTTE, NC, 284704749Browse NC providers · Browse ZIP 28470
- Phone
- 9107548289
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in SHALLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL ANTHONY MICHELAKIS | D.D.S. | 1487720926 |
| FREDERICK ALLEN WILLIAMS | — | 1760505903 |
| DR. CAMMIE THOMPSON MORRIS | DDS | 1376702563 |
| YOUNGCHI CHANG | DDS | 1164929816 |
| DR. ETHAN KYLE CAUDELL | DMD | 1487146361 |
| NATHAN TYLER ASKEW | DDS | 1730922691 |
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.