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DR. BRADLEY R JURGENSMEIER DDS
NPI 1710407606
Dentist in Shallotte, NC

Active since June 22, 2017
4902 MAIN ST STE A, SHALLOTTE, NC 28470(910) 754-8289 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Jun 22, 2017 (2 updates tracked since 2017).

About Dr. Bradley R Jurgensmeier Dds NPPES

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

DR. BRADLEY R JURGENSMEIER DDS (NPI 1710407606) is an individual dentist in Shallotte, North Carolina, licensed in North Carolina (12154) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1710407606
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLEY R JURGENSMEIERCredential: DDS
Location Address4902 MAIN ST STE AShallotte, NC 28470-4749
Mailing Address4902 Main St Ste AShallotte, NC 28470-4749 · (910) 754-8289
Phone(910) 754-8289
Sole ProprietorNo
Enumeration DateJune 22, 2017
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1710407606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NC · 12154✔ Licensed in AZ · D009785
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.
4902 MAIN ST STE A, Shallotte, NC 28470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Bradley Jurgensmeier's NPI number?

The NPI number for Bradley Jurgensmeier is 1710407606. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Bradley Jurgensmeier located?

Bradley Jurgensmeier practices at 4902 Main St Ste A, Shallotte, NC 28470. The listed phone number is (910) 754-8289.

What is Bradley Jurgensmeier's specialty?

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

What insurance does Bradley Jurgensmeier accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Bradley Jurgensmeier 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 Bradley Jurgensmeier was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.