DR. PATTI JUNE BRADLEY (NPI# 1235132911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235132911 |
| Entity Type | Individual |
| Full Name | DR. PATTI JUNE BRADLEY |
| Credential | D.M.D |
| Practice Address |
1011 Parkside Main Greensboro GA 30642-4543 |
| Practice Telephone | 7064531333 |
| Practice Fax Number | 7064537001 |
| Mailing Telephone | 7064531333 |
| Mailing Fax Number | 7064537001 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11656 | GA | Dental Providers |
| Street Address |
1011 PARKSIDE MAIN |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182411 | David Christopher Bradley | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2005-05-24 |
| 1851743173 | Andrea Feldman | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2016-07-11 |
| 1801246525 | Jamie Grant Austin | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2016-06-14 |
| 1457733289 | Charles Spicer | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2015-06-29 |
| 1124432802 | Shelly Lovell Pound | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2014-06-20 |
| 1083046130 | Wendy E Cardenas | Dentist | 1011 Parkside Main, Greensboro, GA 30642-4543 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076976 | Vanessa Catherina Knox | Dentist | 4496 Veranda Lake Ct, Greensboro, NC 27409-9244 | 2020-05-31 |
| 1710522065 | Georgia Dental Alliance of Greensboro | Dentist | 1041 Parkside Cmns Ste 104, Greensboro, GA 30642-4519 | 2019-11-11 |
| 1720632946 | Elizabeth B Mcmichael | Dentist | 2321 Battleground Ave, Greensboro, NC 27408-5422 | 2019-07-25 |
| 1609347731 | Thomas J Bagley D.d.s., P.a. | Dentist | 2729 Horse Pen Creek Rd Ste 103, Greensboro, NC 27410-8396 | 2018-12-16 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1578054557 | Koelling Johnstun & Associates Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-05-24 |
| 1891293205 | Drs Roberts Reimels and Kashyap Pllc | Dentist | 1126 N Church St Ste 102, Greensboro, NC 27401-1035 | 2018-01-31 |
| 1689031783 | M. Thomas Jones Dmd, Pa | Dentist | 5710 W Gate City Blvd Ste R, Greensboro, NC 27407-7047 | 2016-01-20 |
| 1255710646 | Travis Andrew Bell | Dentist | 526 N Elam Ave Ste 201, Greensboro, NC 27403-1132 | 2015-05-19 |
| 1104218007 | Koelling & Associates Pllc | Dentist | 510 Nicholas Rd, F, Greensboro, NC 27409-3399 | 2015-03-02 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
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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.