RYAN BRADLEY DMD
NPI 1831641877
Dentist in Bentonville, AR

Q: What is Ryan Bradley's NPI number?

The NPI number for Ryan Bradley is 1831641877. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Q: What is Ryan Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Bradley was last updated on December 31, 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.

Active since October 25, 2016

104 S WALTON BLVD, BENTONVILLE, AR 72712(479) 273-3757 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2020, Oct 26, 2020, Oct 25, 2016 (3 updates tracked since 2016).

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About Ryan Bradley Dmd NPPES

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

RYAN BRADLEY DMD (NPI 1831641877) is an individual dentist in Bentonville, Arkansas, licensed in Arkansas (4464) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1831641877

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameRYAN BRADLEYCredential: DMD

Location Address104 S WALTON BLVDBentonville, AR 72712-5747

Mailing Address1201 Sw Willow Bend AveBentonville, AR 72713-7977 · (630) 696-0000

Phone(479) 273-3757

Sole ProprietorNo

Enumeration DateOctober 25, 2016

Last NPPES UpdateDecember 31, 20203 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1831641877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in AR · 4464✔ Licensed in TX · 32495

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.

104 S WALTON BLVD, Bentonville, AR 72712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

ROBERTS AND CRISWELL DDS PA

Dentist (General Practice)