JERRY BRADLEY DDS AND ASSOCIATES PLLC
NPI 1629172812
Dentist - General Practice in Edenton, NC

Q: What is Jerry Bradley Dds And Associates PLLC's specialty?

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

Active since September 11, 2006

512 COKE AVE, EDENTON, NC 27932(252) 482-1080(252) 482-1082 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Bradley Dds And Associates Pllc NPPES

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

JERRY BRADLEY DDS AND ASSOCIATES PLLC (NPI 1629172812) is a healthcare organization registered as a general practice in Edenton, North Carolina and active in the NPI registry since September 2006. The organization lists Jerry Lewis Bradley, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1629172812

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJERRY BRADLEY DDS AND ASSOCIATES PLLC

Location Address512 COKE AVEEdenton, NC 27932-1539

Mailing AddressPo Box 552, 512 Coke AvenueEdenton, NC 27932-0552 · (252) 482-1080 · Fax (252) 482-1082

Phone(252) 482-1080

Fax(252) 482-1082

Organization SubpartNo

Authorized OfficialJerry Lewis BradleyOwner/dentist · (252) 482-1080

Enumeration DateSeptember 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629172812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 5267

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.

512 COKE AVE, Edenton, NC 27932

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Other Identifiers 1

Medicaid7990844NC

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

Other Providers at the Same Location NPPES

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

DR. JALISA B. PARRISH DDS

Dentist (General Practice)

512 COKE AVE
EDENTON, NC 27932

Chowan County (252) 482-1080

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 Dds And Associates PLLC's NPI number?

The NPI number for Jerry Bradley Dds And Associates PLLC is 1629172812. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Jerry Bradley Dds And Associates PLLC located?

Jerry Bradley Dds And Associates PLLC is located at 512 Coke Ave, Edenton, NC 27932. The listed phone number is (252) 482-1080.

What is Jerry Bradley Dds And Associates PLLC'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 Jerry Bradley Dds And Associates PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.