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

Dr. Bradley R Jurgensmeier, DDS

Individual provider Dentist · NPI 1710407606

Dr. Bradley R Jurgensmeier, DDS is a Dentist in Shallotte, North Carolina. Licensed in Arizona and North Carolina. Registered with an NPI since 2017.

Licensed in
AZ, NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4902 Main St Ste A
Shallotte, NC 28470-4749
Phone: (910) 754-8289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12154 (NC)
Dentist Taxonomy 122300000X · Licence D009785 (AZ)

Record details

NPI number1710407606
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

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