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

Joseph Thomas Bradley, STUDENT

Individual provider Dentist · NPI 1093455032

Joseph Thomas Bradley, STUDENT is a Dentist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

827 11th Ave
New York, NY 10019-3535
Phone: (212) 369-5566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 063402 (NY)

Record details

NPI number1093455032
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

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