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

Bradley Randall Congleton, DMD

Individual provider Dentist · NPI 1952754749

Bradley Randall Congleton, DMD is a Dentist in Louisville, Kentucky. Works from 2 locations. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2016
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2215 Portland Ave
Louisville, KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 996-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16005 Us Route 23, Catlettsburg, KY 41129-9070 — (606) 739-0403

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 9824 (KY)
Dentist Taxonomy 122300000X · Licence 12014346A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9824 (KY)

Record details

NPI number1952754749
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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