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MRS. LYNNETTE BRADLEY
NPI 1033753298
Advanced Practice Dental Therapist in Riverside, CA

Active since October 31, 2019
4218 GILES CT, RIVERSIDE, CA 92503(951) 314-5349 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lynnette Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LYNNETTE BRADLEY (NPI 1033753298) is an individual advanced practice dental therapist in Riverside, California, licensed in California (HAP754) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1033753298
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameMRS. LYNNETTE BRADLEY
Location Address4218 GILES CTRiverside, CA 92503-3154
Mailing AddressPo Box 7512Riverside, CA 92513-7512 · (951) 314-5349
Phone(951) 314-5349
Sole ProprietorYes
Enumeration DateOctober 31, 2019
✔ NPI 1033753298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License✔ Licensed in CA · HAP754
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
4218 GILES CT, Riverside, CA 92503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynnette Bradley's NPI number?

The NPI number for Lynnette Bradley is 1033753298. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Lynnette Bradley located?

Lynnette Bradley practices at 4218 Giles Ct, Riverside, CA 92503. The listed phone number is (951) 314-5349.

What is Lynnette Bradley's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Lynnette Bradley was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.