Individual provider · Type 1 NPI
Bradley R. Daniel, DMD
General Practice Dentistry · Ellington, MO
NPI number
1316293145
Active
Practice location
115 W Walnut St
Ellington, MO 63638-9300
Fax (573) 663-3188
Mailing address
110 S 2nd St
Ellington, MO 63638-9400
Other practice locations
- 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 · (573) 778-3042
- 109 Plum St Ste D, Doniphan, MO 63935-1225 · (573) 351-2041
- 315 W Mulberry Ste B, Pilot Knob, MO 63663-7883 · (573) 546-1001
- 1 Hals Plz Ste B, Piedmont, MO 63957-1631 · (573) 223-8902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2012024991 (MO) |
General Practice Dentistry: 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.
5 other providers at this address
- Big Springs Medical AssociationFederally Qualified Health Center (FQHC) Ellington, MO NPI 1770678211
- John R. Galloway, DDSDentist Ellington, MO NPI 1487861936
- Meagan Whitley Berry, RHDDental Hygienist Ellington, MO NPI 1033420039
- Rebecca Rae Singleton, DMDDentist Ellington, MO NPI 1578727418
- Stephanie R. Bland, RDHDental Hygienist Ellington, MO NPI 1023510906
Other general practice dentistry providers in Ellington
About NPI 1316293145
Bradley R. Daniel, DMD's National Provider Identifier is 1316293145, issued on Jul 30, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ellington, MO. The record was last updated on Oct 19, 2026.