Dr John David Bradford Ii, DMD | |
2010 W Chester Pike, Suite 128, Havertown, PA 19083-2700 | |
(610) 449-2100 | |
(610) 449-9415 |
Full Name | Dr John David Bradford Ii |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2010 W Chester Pike, Havertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750328498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS-027005-L (Pennsylvania) | Primary |
Entity Name | Suburban Oral Surgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952356073 PECOS PAC ID: 8921094749 Enrollment ID: O20040426000278 |
Mailing Address | Practice Location Address |
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Dr John David Bradford Ii, DMD 2010 W Chester Pike, Suite 128, Havertown, PA 19083-2700 Ph: (610) 449-2100 | Dr John David Bradford Ii, DMD 2010 W Chester Pike, Suite 128, Havertown, PA 19083-2700 Ph: (610) 449-2100 |
Dr. Erin Ruane Bauerle, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1220 W Chester Pike, Havertown, PA 19083 Phone: 484-454-3230 | |
Dr. Lee Gifford Taylor Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 Darby Rd, Havertown, PA 19083 Phone: 610-789-2904 | |
Anudeep Kaur Grewal, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 Darby Rd Ste 1b, Havertown, PA 19083 Phone: 610-449-1272 | |
Dr. Shaheen Shafagh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Eagle Rd, Havertown, PA 19083 Phone: 104-466-6886 Fax: 610-446-6844 | |
Dr. Celeste Filipczyk, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 145 N Eagle Rd, Havertown, PA 19083 Phone: 610-449-5250 Fax: 610-449-5472 | |
Dr. Iraj Shafagh, DMD,MSC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1305 West Chester Pike, Suite C, Havertown, PA 19083 Phone: 610-446-6688 Fax: 610-446-6844 | |
Dr. Casimir M Wolanin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1210 Darby Rd, Havertown, PA 19083 Phone: 610-789-7337 |