Individual provider · Type 1 NPI

Bradford Newhall Edgren, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Greeley, CO

NPI number 1063532448 Active

Practice location

3400 W 16th St, Bldg 4-V
Greeley, CO 80634-6862

Call (970) 356-5900 Map

Fax (970) 356-2418

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6883 (CO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1063532448

Bradford Newhall Edgren, DDS, MS's National Provider Identifier is 1063532448, issued on Mar 30, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Greeley, CO. The record was last updated on Jul 8, 2007.