Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Dental, LLC

Organization General Practice Dentistry · NPI 1295906584

Bradley Dental, LLC is a General Practice Dentistry in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2034 N State Route 50
Bourbonnais, IL 60914-4410
Phone: (815) 929-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1295906584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Azad — Owner/Dentist · (815) 929-0222
NPI enumeratedMarch 14, 2008
Last updated in NPPESMarch 14, 2008
Mailing address2034 N State Route 50, Bourbonnais, IL 60914-4410

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