Individual provider · Type 1 NPI

Thomas Gerard Bradley

Orthodontics and Dentofacial Orthopedics Dentistry · Watertown, WI

NPI number 1346461696 Active

Practice location

1510 Doctors Ct
Watertown, WI 53094-4102

Fax (920) 261-3561

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5275-015 (WI)

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 1346461696

Thomas Gerard Bradley's National Provider Identifier is 1346461696, issued on May 2, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Watertown, WI. The record was last updated on Jul 8, 2007.