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DR. ROBERT FREDERICK BRADLEY DDS
NPI 1639297633
Dentist in Jacksonville, IL

Active since March 27, 2007
1614 W LAFAYETTE, JACKSONVILLE, IL 62650(217) 243-4032(217) 243-4353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Frederick Bradley Dds NPPES

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

DR. ROBERT FREDERICK BRADLEY DDS (NPI 1639297633) is an individual dentist in Jacksonville, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639297633
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROBERT FREDERICK BRADLEYCredential: DDS
Location Address1614 W LAFAYETTEJacksonville, IL 62650-0000
Mailing Address1614 W LafayetteJacksonville, IL 62650-0000 · (217) 243-4032 · Fax (217) 243-4353
Phone(217) 243-4032
Fax(217) 243-4353
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639297633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1614 W LAFAYETTE, Jacksonville, IL 62650
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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 Robert Bradley's NPI number?

The NPI number for Robert Bradley is 1639297633. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Robert Bradley located?

Robert Bradley practices at 1614 W Lafayette, Jacksonville, IL 62650. The listed phone number is (217) 243-4032.

What is Robert 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 Robert 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.