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

Dr. Carol Lavern Bradshaw, DDS

Individual provider Dentist · NPI 1558544007

Dr. Carol Lavern Bradshaw, DDS is a Dentist in Blythe, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

19005 Wileys Well Rd
Blythe, CA 92225-2287
Phone: (760) 278-9755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 36892 (CA)

Record details

NPI number1558544007
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 6, 2007
Last updated in NPPESDecember 6, 2007

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