Young, Bradley Jerome

Young, Bradley Jerome is an sole proprietor health care provider with primary practice located at 129 W Pleasant St , Maquoketa IA 52060-3046. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Young, Bradley Jerome can be contacted via phone (563) 652-3438.

Contact Information

Primary practice address
129 W Pleasant St Maquoketa IA 52060-3046
Phone: (563) 652-3438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08736 Iowa

Profile Details

NPI number 1336450618
LBN Legal business name Young, Bradley Jerome
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2010
Last updated Jan 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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