Individual provider · Type 1 NPI

Nicholas Bradford, DMD

Pediatric Dentistry · Providence, RI

NPI number 1336734425 Active

Practice location

21 Peace St
Providence, RI 02907-1510

Call (401) 456-2001 Map

Mailing address

19 Berwick Pl
Rumford, RI 02916-1911

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDEN.00205417 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1336734425

Nicholas Bradford, DMD's National Provider Identifier is 1336734425, issued on Mar 1, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Providence, RI. The record was last updated on Jun 2, 2023.