NPI 1710256680

Shannon Bradley, RDH

Practitioner Dental Hygienist Cheshire, CT

Practice location

Address: 114 Old Farms Rd, Cheshire, CT 06410-3773
Phone: (203) 271-1097

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 05954 (CT)

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Registry record

NPI: 1710256680
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2011
Record last updated: 22 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.