BRADFORD DENTAL CENTER
NPI 1346919511
Clinic/Center - Federally Qualified Health Center (FQHC) in Bradford, PA

Active since September 10, 2021
600 CHESTNUT STREET EXT STE B, BRADFORD, PA 16701(814) 366-5955(814) 366-5990 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradford Dental Center NPPES

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

BRADFORD DENTAL CENTER (NPI 1346919511) is a healthcare organization registered as a federally qualified health center (fqhc) in Bradford, Pennsylvania and active in the NPI registry since September 2021. The organization lists Kristie M Bennardi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346919511
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBRADFORD DENTAL CENTER
Location Address600 CHESTNUT STREET EXT STE BBradford, PA 16701-5438
Mailing AddressPo Box 270Emporium, PA 15834-0270 · (814) 486-1115 · Fax (814) 486-0404
Fax(814) 366-5990
Organization SubpartYesParent: Keystone Rural Health Consortia, Inc
Authorized OfficialKristie M BennardiCeo · (814) 245-2119
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
NPI 1346919511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
600 CHESTNUT STREET EXT STE B, Bradford, PA 16701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
600 CHESTNUT STREET EXT STE B
BRADFORD, PA 16701

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 Bradford Dental Center's NPI number?

The NPI number for Bradford Dental Center is 1346919511. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Bradford Dental Center located?

Bradford Dental Center is located at 600 Chestnut Street Ext Ste B, Bradford, PA 16701. The listed phone number is (814) 366-5955.

What is Bradford Dental Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Bradford Dental Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bradford Dental Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradford Dental Center was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.