Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY RANDALL CONGLETON, DMD
ActiveBRADLEY RANDALL CONGLETON, DMD is a Dental Public Health healthcare provider located in LOUISVILLE, Kentucky. NPI 1952754749 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · LOUISVILLE, KY
Registration Details
- NPI Number
- 1952754749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2016 (10.066381572502 yrs)
- Last Updated
- Nov 18, 2024
- Licenses
-
12014346A (IN)9824 (KY)9824 (KY)
Practice Information
- Address
-
2215 PORTLAND AVELOUISVILLE, KY, 402121033Browse KY providers · Browse ZIP 40212
- Phone
- 5027748631
- Fax
- 5029968309
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dental Public Health
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.