Bradley Frederick, D.M.D

NPI 1720499270 · on the registry since 2014 · sole proprietor

Practice

Address: 819 Mount Tabor Rd
New Albany, IN 47150
Phone: (812) 945-7643
Organisation at this address: Ronald L Receveur Dds Llc
The Center For Advanced Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana