DR. HANK BRADFORD (NPI# 1205053188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205053188 |
Entity Type | Individual |
Full Name | DR. HANK BRADFORD |
Credential | D.M.D. |
Practice Address |
3535 Roswell Rd Suite 46 Marietta GA 30062-8826 |
Practice Telephone | 6785604100 |
Practice Fax Number | 6785604149 |
Mailing Telephone | 6785604100 |
Mailing Fax Number | 6785604149 |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN012887 | GA | Dental Providers |
Street Address |
3535 ROSWELL RD SUITE 46 |
City | MARIETTA |
State | GA |
Zip Code | 30062-8826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952363442 | Advanced Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 | 2006-04-03 |
1952750309 | Kiran Bandali | Optometrist | 3535 Roswell Rd, Ste 8, Marietta, GA 30062-8826 | 2016-06-07 |
1750654141 | Map Eyes LLC | Optometrist | 3535 Roswell Rd, Suite 8, Marietta, GA 30062-8826 | 2012-02-15 |
1124300629 | Keiko Sweigart | Massage Therapist | 3535 Roswell Rd, Suite 23, Marietta, GA 30062-8826 | 2011-09-12 |
1457672958 | Daniel Paul Brunner | Dentist | 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 | 2010-06-18 |
1043470883 | Digital Radiographic Diagnostics, LLC | Clinic/Center | 3535 Roswell Rd, Suite-1 Building-1, Marietta, GA 30062-8826 | 2008-06-16 |
1073795746 | The Widen Clinic | Chiropractor | 3535 Roswell Rd, Ste. 37, Marietta, GA 30062-8826 | 2007-12-04 |
1104045251 | Woodlawn Medical Group of Arizona | Radiologic Technologist | 3535 Roswell Rd, Suite 20, Marietta, GA 30062-8826 | 2007-04-25 |
1700947132 | Denise Angella Hall | Dentist | 3535 Roswell Rd, Suite 14, Marietta, GA 30062-8826 | 2006-12-12 |
1922168046 | John E Schad | Chiropractor | 3535 Roswell Rd, Suite 6, Marietta, GA 30062-8826 | 2006-12-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962577064 | Anand W Suresh | Dentist | 2852 Johnson Ferry Rd, Suite 150, Marietta, GA 30062-5686 | 2006-11-22 |
1780605998 | Kavreet Ritu Bath | Dentist | 472 N Sessions St Nw, Suite 22, Marietta, GA 30060-1368 | 2006-07-22 |
1699801423 | Kenneth Philip Goldstein | Dentist | 840 Church St Ne, Bld D Ste1, Marietta, GA 30060-8936 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764180 | John O. Green, II, Dds, PC | Dentist | 6126 Prestley Mill Rd Ste J, Douglasville, GA 30134-5624 | 2020-09-10 |
1104434232 | Conyers Endodontic Center PC | Dentist | 1920 Highway 20 Se Ste A, Conyers, GA 30013-2048 | 2020-07-15 |
1790288678 | Crabapple Endodontics | Dentist | 12385 Crabapple Rd Ste 150, Alpharetta, GA 30004-6357 | 2018-03-16 |
1326552522 | Lucas Blaine Connor | Dentist | 3625 Braselton Hwy Ste 101, Dacula, GA 30019-4696 | 2017-11-27 |
1710382007 | Golden Isles Endodontics, LLC | Dentist | 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522-2044 | 2014-10-29 |
1346644176 | Liberty Trails Endodontics, LLC | Dentist | 111 E Mills Ave, Hinesville, GA 31313-2616 | 2014-10-22 |
1194136929 | Jimmy W. Arnold | Dentist | 152 N Crest Blvd Ste A, Macon, GA 31210-1847 | 2014-05-14 |
1629418371 | Young Okeke | Dentist | 6595 Roswell Rd Ste G-3040, Atlanta, GA 30328-3152 | 2013-06-26 |
1720342694 | Lake Oconee Endodontics, LLC | Dentist | 112 Harmony Crossing, Suite 1, Eatonton, GA 31024-9536 | 2012-06-26 |
1275891541 | Alison Stpaul | Dentist | 1705 Ga-20, Suite 200, Mcdonough, GA 30253 | 2012-04-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.