| Dr Bradley J Clark, DDS | |
|
310 S 9th Ave, Broken Bow, NE 68822-2014 | |
| (308) 872-2575 | |
| Not Available |
| Full Name | Dr Bradley J Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 310 S 9th Ave, Broken Bow, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114052966 | NPI | - | NPPES |
| 5251 | Other | NE | BLUE CROSS BLUE SHIELD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6126 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley J Clark, DDS Po Box 117, 310 South 9th Ave., Broken Bow, NE 68822-0117 Ph: (308) 872-2575 | Dr Bradley J Clark, DDS 310 S 9th Ave, Broken Bow, NE 68822-2014 Ph: (308) 872-2575 |
Mr. Ronnie Roy Simmons, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-6294 Fax: 308-872-6548 | |
Dr. Stacy Leigh Solomon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2021 S E St, Ste #5, Broken Bow, NE 68822 Phone: 308-767-2004 Fax: 308-767-2006 |