Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATIE ELIZABETH BRADFORD, DDS
Active Sole ProprietorDR. KATIE ELIZABETH BRADFORD, DDS is a 1223D0004X healthcare provider located in GOODLETTSVILLE, Tennessee. NPI 1790040616 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · GOODLETTSVILLE, TN
Registration Details
- NPI Number
- 1790040616
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2012 (14.11384441181 yrs)
- Last Updated
- Jul 11, 2016
- Licenses
-
10221 (TN)10221 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
139 ROSE GARDEN LNGOODLETTSVILLE, TN, 370723164Browse TN providers · Browse ZIP 37072
- Phone
- 5732753143
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- General Dentistry
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.