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BRENT J. BRADLEY D.D.S
NPI 1124088166
Dentist - Pediatric Dentistry in Rapid City, SD

Active since March 24, 2006
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702(605) 341-3068 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent J. Bradley D.d.s NPPES

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

BRENT J. BRADLEY D.D.S (NPI 1124088166) is an individual pediatric dentistry provider in Rapid City, South Dakota, licensed in South Dakota (M864) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1124088166
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBRENT J. BRADLEYCredential: D.D.S
Location Address700 SHERIDAN LAKE RDRapid City, SD 57702-2407
Mailing Address700 Sheridan Lake RdRapid City, SD 57702-2407 · (605) 341-3068
Phone(605) 341-3068
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 28, 2007
✔ NPI 1124088166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SD · M864
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
700 SHERIDAN LAKE RD, Rapid City, SD 57702
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLACK HILLS PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. THOMAS A SCHMANSKI DDS
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. CRAIG R. COOKSLEY DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. JEFFREY PAUL GODBER D.D.S.
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
BLACK HILLS PEDIATRIC DENTISTRY
Community Health Worker
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KARLI M WILLIAMS D.D.S.
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. ANDREW ROBERT WILSON DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KELLI J JOBMAN DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068

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 Brent Bradley's NPI number?

The NPI number for Brent Bradley is 1124088166. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Brent Bradley located?

Brent Bradley practices at 700 Sheridan Lake Rd, Rapid City, SD 57702. The listed phone number is (605) 341-3068.

What is Brent Bradley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Brent Bradley was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.