DR. BRADLEY W MITCHELL DMD
NPI 1720236128
Dentist - General Practice in Waterloo, IL

Q: What is Bradley Mitchell's NPI number?

The NPI number for Bradley Mitchell is 1720236128. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Q: What is Bradley Mitchell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Mitchell was last updated on August 28, 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.

Active since August 28, 2008

413 W 3RD ST, WATERLOO, IL 62298(618) 939-6128(618) 939-6128 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Bradley W Mitchell Dmd NPPES

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

DR. BRADLEY W MITCHELL DMD (NPI 1720236128) is an individual general practice provider in Waterloo, Illinois, licensed in Illinois (19015801) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1720236128

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY W MITCHELLCredential: DMD

Location Address413 W 3RD STWaterloo, IL 62298-1358

Mailing Address413 W 3rd StWaterloo, IL 62298-1358 · (618) 939-6128 · Fax (618) 939-6128

Phone(618) 939-6128

Fax(618) 939-6128

Sole ProprietorYes

Enumeration DateAugust 28, 2008

✔ NPI 1720236128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 19015801

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.

413 W 3RD ST, Waterloo, IL 62298

Open in Google Maps ↗

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 Mitchell's NPI number?

The NPI number for Bradley Mitchell is 1720236128. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Bradley Mitchell located?

Bradley Mitchell practices at 413 W 3rd St, Waterloo, IL 62298. The listed phone number is (618) 939-6128.

What is Bradley Mitchell'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 Bradley Mitchell was last updated on August 28, 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.