Bradford Dental Center
NPI #1346919511 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1346919511
- Entity Type
- Organization
- Organization Name
- Bradford Dental Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KEYSTONE RURAL HEALTH CONSORTIA, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 10, 2021
- Last Updated
- Sep 10, 2021
Practice Location
- Address
- 600 CHESTNUT STREET EXT STE B
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-5438
- Phone
- (814) 366-5955
Authorized Official
- Name
- KRISTIE M BENNARDI, RN
- Title
- CEO
- Phone
- (814) 245-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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