J. Dwight Bradshaw DDS
J. Dwight Bradshaw DDS provides General Practice Dentistry in Suffolk, Virginia. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
5501 Bennetts Pasture Rd Ste DSuffolk, VA 23435-1500 Not confirmed with CMS for 17 years — call before visiting
Phone: (757) 484-1444
Fax: (757) 484-3712
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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 |
|---|
Record details
| NPI number | 1568614584 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | J.Dwight Bradshaw — Owner · (757) 484-1444 |
| NPI enumerated | October 22, 2008 |
| Last updated in NPPES | October 22, 2008 |
| Mailing address | 5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435-1500 |
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