| Drs. Bradshaw And Hathaway | |
|
300 W Watauga Ave Johnson City TN 37604-5549 | |
| (423) 929-1126 | |
| Not Available |
| Full Name | Drs. Bradshaw And Hathaway |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 300 W Watauga Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | John William Bradshaw (ORTHODONTIST) |
| Authorized Official Contact | 4239291126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Bradshaw And Hathaway 300 W Watauga Ave Johnson City TN 37604-5549 Ph: (423) 929-1126 | Drs. Bradshaw And Hathaway 300 W Watauga Ave Johnson City TN 37604-5549 Ph: (423) 929-1126 |
| NPI Number | 1790881233 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790881233 | NPI | - | NPPES |
| 7282 | Other | TN | DORAL DENTAL/TNCARE |
| 16639 | Other | TN | DORAL DENTAL/TNCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2005 (Tennessee) | Primary |
Northeast Tn Public Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 Southwest Ave Ext, Johnson City, TN 37604 Phone: 423-979-3200 Fax: 423-979-3267 | |
Sophisticated Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite #4, Johnson City, TN 37601 Phone: 423-928-8359 Fax: 423-282-6018 | |
Allcare Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 N Roan St, Johnson City, TN 37601 Phone: 423-477-2233 Fax: 423-477-8301 | |
E.w. Cooper D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-2621 | |
Brit E. Bowers, Dds, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Sunset Dr, Bld. A, Suite 3, Johnson City, TN 37604 Phone: 423-610-0556 Fax: 423-952-0780 | |
Keystone Dental Care, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Bert St Ste 206, Johnson City, TN 37601 Phone: 423-232-7919 | |
Banyas Miranda Dentistry Gps Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 W Watauga Ave, Johnson City, TN 37604 Phone: 423-928-0265 |