Jerry Bradley DDS and Associates Pllc
NPI #1629172812 in Edenton, North Carolina
Provider Information
- NPI Number
- 1629172812
- Entity Type
- Organization
- Organization Name
- Jerry Bradley DDS and Associates Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 512 COKE AVE
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932-1539
- Phone
- (252) 482-1080
Authorized Official
- Name
- DR. JERRY LEWIS BRADLEY, DDS
- Title
- OWNER/DENTIST
- Phone
- (252) 482-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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