RYAN BRADLEY (NPI# 1831641877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831641877 |
| Entity Type | Individual |
| Full Name | RYAN BRADLEY |
| Credential | DMD |
| Practice Address |
3500 Black Forest Dr Ste 1 Fayetteville AR 72704-6551 |
| Mailing Address |
1201 Sw Willow Bend Ave Bentonville AR 72713-7977 |
| Practice Telephone | 4798885119 |
| Mailing Telephone | 6306960000 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4464 | AR | Dental Providers |
| N | 122300000X | Dentist | 32495 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154664 | Ryan Bradley | Physician Assistant | 5880 N Hospital Dr, Globe, AZ 85501 | 2015-09-21 |
| 1649544107 | Ryan Bradley | Pharmacist | 6348 Ne Halsey St Ste A, Portland, OR 97213-4720 | 2012-03-01 |
| 1700187036 | Ryan Bradley | Psychologist | 5465 Grand Ave, Gurnee, IL 60031-4913 | 2010-11-03 |
| 1306058805 | Ryan James Bradley | Anesthesiology | 332 Hermann St, San Francisco, CA 94117-3417 | 2007-05-04 |
| 1619965753 | Ryan David Bradley | Naturopath | 1307 N 45th St, Seattle, WA 98103-6704 | 2005-10-12 |
| 1871118075 | Ryan Bradley | Specialist/Technologist, Other | 4600 S Ulster St Ste 1225, Denver, CO 80237-2696 | 2020-06-12 |
| 1902458599 | Ryan Michael Bradley | Dentist | 19129 Beavercreek Rd, Oregon City, OR 97045-9539 | 2019-07-12 |
| 1194295022 | Ryan Bradley | Nurse's Aide | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2018-12-04 |
| 1306341268 | Ryan Matthew Bradley | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-03-23 |
| 1407227267 | Ryan Bradley | Case Manager/Care Coordinator | 225 S Main St, Hope, AR 71801-4319 | 2015-10-19 |
| Street Address |
3500 BLACK FOREST DR STE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014696 | Neko Lynn Webb | Dentist | 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 | 2020-08-24 |
| 1225529605 | Alterman & Dhillon Eastern Nc, Pplc | Dentist | 4251 Ramsey St Ste 8&9, Fayetteville, NC 28311-2130 | 2018-05-22 |
| 1093217184 | Brandon Murray | Dentist | 2935 Breezewood Ave Ste 200, Fayetteville, NC 28303-5498 | 2018-03-05 |
| 1750834255 | Sharitha Anderson | Dentist | 117 Pavilion Pkwy Ste 15c, Fayetteville, GA 30214-7732 | 2016-08-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| 1972973766 | Beautiful Smiles of Fayetteville | Dentist | 719 Lanier Ave W Ste A1, Fayetteville, GA 30214-7634 | 2015-10-06 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1053795336 | Knowles, Smith & Associates, LLP | Dentist | 2028 Litho Pl Ste 300, Fayetteville, NC 28304-2538 | 2015-07-16 |
| 1952784159 | Christina Walls | Dentist | 637 E Joyce Blvd, #120, Fayetteville, AR 72703-6189 | 2015-07-07 |
| 1174916902 | Tan Binh Nguyen, Dds II, Pllc | Dentist | 5511 Raeford Rd Ste 225, Fayetteville, NC 28304-2060 | 2015-03-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
Please comment or provide details below to improve the information on RYAN BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.