| Bradley Mychel Pelham, DDS | |
|
3795 N Stockton Hill Rd, Kingman, AZ 86409-3057 | |
| (928) 352-8132 | |
| Not Available |
| Full Name | Bradley Mychel Pelham |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3795 N Stockton Hill Rd, Kingman, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952081051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 109057 (California) | Secondary |
| 122300000X | Dentist | D011911 (Arizona) | Primary |
| 122300000X | Dentist | DB-2023-0196 (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Mychel Pelham, DDS 3149 Palo Verde Blvd N, Lake Havasu City, AZ 86404-1470 Ph: (626) 623-9449 | Bradley Mychel Pelham, DDS 3795 N Stockton Hill Rd, Kingman, AZ 86409-3057 Ph: (928) 352-8132 |
Dr. Conchita O Mercado, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1101 Riata Valley Rd, Kingman, AZ 86409 Phone: 928-692-9394 Fax: 928-692-9399 | |
Dr. Bryan K Carlson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 988 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-3223 | |
Jerry L Sullivan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Grandview Ave, Kingman, AZ 86401 Phone: 928-753-6611 Fax: 928-753-1288 | |
Dr. Robert Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3775 Stockton Hill Rd Ste C, Kingman, AZ 86409 Phone: 928-692-9135 Fax: 928-692-9408 | |
Dr. Gary James Lacaze, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1616 Stockton Hill Rd, Kingman, AZ 86401 Phone: 928-753-1141 Fax: 928-753-5793 | |
Dr. Tori Sandoval, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2535 Hualapai Mountain Rd Ste E, Kingman, AZ 86401 Phone: 928-718-2525 Fax: 928-718-7127 | |
Carl Bruce Bullen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1143 Riata Valley Rd, Kingman, AZ 86409 Phone: 928-757-8700 |