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

Dr. Bradley Vergien, DDS

Individual provider Dentist · NPI 1790841765

Dr. Bradley Vergien, DDS is a Dentist in Gallup, New Mexico. Practices as a sole proprietor. Licensed in Alaska, Arizona, New Mexico and Utah.

Licensed in
AK, AZ, NM, UT
In the registry since
2006
Specialties on file
4
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

1421 US 491
Gallup, NM 87301
Phone: (505) 863-8000
Fax: (505) 863-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD1926 (NM)
Dentist Taxonomy 122300000X · Licence D3565 (AZ)
Dentist Taxonomy 122300000X · Licence 145124-9921 (UT)
Dentist Taxonomy 122300000X · Licence 759 (AK)

Record details

NPI number1790841765
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESMay 20, 2010
Mailing address1600 Milda St, Gallup, NM 87301-6117

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