DR. Bradley Glenn Fawcett, DDS

NPI #1023181237 in Indianapolis, Indiana

Provider Information

NPI Number: 1023181237
Entity Type: Individual
Name: DR. Bradley Glenn Fawcett, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2440 LAKE CIRCLE DR
City: Indianapolis
State: Indiana
ZIP Code: 46268-4219
Phone: (317) 872-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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