| Jerry Bradley Dds And Associates Pllc | |
|
512 Coke Ave Edenton NC 27932-1539 | |
| (252) 482-1080 | |
| (252) 482-1082 |
| Full Name | Jerry Bradley Dds And Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 512 Coke Ave, Edenton, North Carolina |
| Authorized Official Name and Position | Jerry Lewis Bradley (OWNER/DENTIST) |
| Authorized Official Contact | 2524821080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Bradley Dds And Associates Pllc Po Box 552 512 Coke Avenue Edenton NC 27932-0552 Ph: (252) 482-1080 | Jerry Bradley Dds And Associates Pllc 512 Coke Ave Edenton NC 27932-1539 Ph: (252) 482-1080 |
| NPI Number | 1629172812 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629172812 | NPI | - | NPPES |
| 7990844 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5267 (North Carolina) | Primary |
Albemarle Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Mark Dr, Edenton, NC 27932 Phone: 252-482-5131 Fax: 252-482-5587 | |
B. Eric Phillips D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Mark Dr, Edenton, NC 27932 Phone: 302-540-2235 |