Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY VERGIEN, DDS
Active Sole ProprietorDR. BRADLEY VERGIEN, DDS is a Dentist healthcare provider located in GALLUP, New Mexico. NPI 1790841765 is currently active in the NPPES registry. Verify at CMS.
Dentist · GALLUP, NM
Registration Details
- NPI Number
- 1790841765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.612284641117 yrs)
- Last Updated
- May 20, 2010
- Licenses
-
DD1926 (NM)D3565 (AZ)145124-9921 (UT)759 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1421 US 491GALLUP, NM, 87301Browse NM providers · Browse ZIP 87301
- Phone
- 5058638000
- Fax
- 5058638700
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
Other Dentist Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY L. AMBROSE | DDS | 1003850116 |
| SEYED HESHMAT MORTAZAVI | DMD | 1902833973 |
| JOVITO G SABAL | D.D.S | 1063449577 |
| ANTHONY VITALI | DMD | 1740218874 |
| STEVEN DEWAYNE FLORER | DDS | 1891723748 |
| TANYA M ROBINSON | DDS | 1316971849 |
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.