Individual provider · Type 1 NPI

Zackary Michael Bradshaw, DDS

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1750076063 Active

Practice location

1120 15th St # GC5110
Augusta, GA 30912-0004

Call (706) 721-2371 Map

Mailing address

1196 E Preston Dr
Alpine, UT 84004-1937

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XDN123617 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750076063

Zackary Michael Bradshaw, DDS's National Provider Identifier is 1750076063, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Oct 11, 2024.