DR. Richard Brian Bradshaw, D.M.D.

NPI #1619231669 in Medford, Oregon

Provider Information

NPI Number: 1619231669
Entity Type: Individual
Name: DR. Richard Brian Bradshaw, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 25, 2012
Last Updated: Sep 11, 2024

Practice Location

Address: 4411 BROWN RIDGE TER
City: Medford
State: Oregon
ZIP Code: 97504-9139
Phone: (541) 200-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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