J. DWIGHT BRADSHAW DDS
NPI 1568614584
Dentist - General Practice in Suffolk, VA

Active since October 22, 2008
5501 BENNETTS PASTURE RD STE D, SUFFOLK, VA 23435(757) 484-1444(757) 484-3712 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About J. Dwight Bradshaw Dds NPPES

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

J. DWIGHT BRADSHAW DDS (NPI 1568614584) is a healthcare organization registered as a general practice in Suffolk, Virginia and active in the NPI registry since October 2008. The organization lists J.dwight Bradshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1568614584
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJ. DWIGHT BRADSHAW DDS
Location Address5501 BENNETTS PASTURE RD STE DSuffolk, VA 23435-1500
Mailing Address5501 Bennetts Pasture Rd Ste DSuffolk, VA 23435-1500 · (757) 484-1444 · Fax (757) 484-3712
Fax(757) 484-3712
Organization SubpartNo
Authorized OfficialJ.dwight BradshawOwner · (757) 484-1444
Enumeration DateOctober 22, 2008
NPI 1568614584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5501 BENNETTS PASTURE RD STE D, Suffolk, VA 23435

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

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 J. Dwight Bradshaw Dds's NPI number?

The NPI number for J. Dwight Bradshaw Dds is 1568614584. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is J. Dwight Bradshaw Dds located?

J. Dwight Bradshaw Dds is located at 5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435. The listed phone number is (757) 484-1444.

What is J. Dwight Bradshaw Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for J. Dwight Bradshaw Dds was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.