Individual provider · Type 1 NPI

Bradley W. Mitchell, DMD

General Practice Dentistry · Waterloo, IL

NPI number 1720236128 Active

Practice location

413 W 3rd St
Waterloo, IL 62298-1358

Fax (618) 939-6128

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19015801 (IL)

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.

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About NPI 1720236128

Bradley W. Mitchell, DMD's National Provider Identifier is 1720236128, issued on Aug 28, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waterloo, IL. The record was last updated on Aug 28, 2008.