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DR. JERRY L BRADLEY DDS
NPI 1184713505
Dentist in Edenton, NC

Active since October 12, 2006
512 COKE AVENUE, EDENTON, NC 27932(252) 482-1080(252) 482-1082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerry L Bradley Dds NPPES

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

DR. JERRY L BRADLEY DDS (NPI 1184713505) is an individual dentist in Edenton, North Carolina, licensed in North Carolina (5267) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184713505
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY L BRADLEYCredential: DDS
Location Address512 COKE AVENUEEdenton, NC 27932
Mailing AddressPo Box 552Edenton, NC 27932 · (252) 482-1080 · Fax (252) 482-1082
Phone(252) 482-1080
Fax(252) 482-1082
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184713505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 5267
Definition
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.
512 COKE AVENUE, Edenton, NC 27932
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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 Jerry Bradley's NPI number?

The NPI number for Jerry Bradley is 1184713505. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jerry Bradley located?

Jerry Bradley practices at 512 Coke Avenue, Edenton, NC 27932. The listed phone number is (252) 482-1080.

What is Jerry Bradley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jerry Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.