NPI 1710048871 · live from the CMS NPI Registry
Erik S Bradley, DDS
Dentist in Wilmington, DE. National Provider Identifier 1710048871, active.
NPI record
| NPI | 1710048871 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1415 Foulk Road, Suite 200, Wilmington, DE 19803 |
| Practice phone | 302-477-4900 |
| Enumerated | December 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | GI0001026 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.