| Bradford Dental Center | |
|
600 Chestnut Street Ext Ste B Bradford PA 16701-5438 | |
| (814) 366-5955 | |
| (814) 366-5990 |
| Full Name | Bradford Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 Chestnut Street Ext Ste B, Bradford, Pennsylvania |
| Authorized Official Name and Position | Kristie M Bennardi (CEO) |
| Authorized Official Contact | 8142452119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Dental Center Po Box 270 Emporium PA 15834-0270 Ph: (814) 486-1115 | Bradford Dental Center 600 Chestnut Street Ext Ste B Bradford PA 16701-5438 Ph: (814) 366-5955 |
| NPI Number | 1346919511 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346919511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Signature Smile Designs Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-4492 | |
Bradford Regional Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-4143 |