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BRADLEY GEORGE PATCH D.D.S.
NPI 1871862664
Dentist - General Practice in Logan, UT

Active since December 22, 2011
167 E 200 N, # 4, LOGAN, UT 84321(435) 512-6566 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley George Patch D.d.s. NPPES

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

BRADLEY GEORGE PATCH D.D.S. (NPI 1871862664) is an individual general practice provider in Logan, Utah, licensed in Utah (1441559922) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1871862664
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRADLEY GEORGE PATCHCredential: D.D.S.
Location Address167 E 200 N, # 4Logan, UT 84321-4049
Mailing Address167 E 200 N, # 4Logan, UT 84321-4049 · (435) 512-6566
Phone(435) 512-6566
Sole ProprietorYes
Enumeration DateDecember 22, 2011
✔ NPI 1871862664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 1441559922
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.
167 E 200 N, Logan, UT 84321
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Other Identifiers 1

Medicaid0405787210UT

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

STEWART WAYNE JENSEN D.D.S.
Dentist (General Practice)
167 E 200 N, STE 1
LOGAN, UT 84321
Cache County (435) 752-5451
LOGAN PDC PLLC
Dentist (General Practice)
167 E 200 N, STE 3
LOGAN, UT 84321
Cache County (435) 752-3689
DR. MATTHEW C CHENEY DMD
Dentist (General Practice)
167 E 200 N, SUITE 3
LOGAN, UT 84321
Cache County (435) 752-3689

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 Patch's NPI number?

The NPI number for Bradley Patch is 1871862664. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Bradley Patch located?

Bradley Patch practices at 167 E 200 N # 4, Logan, UT 84321. The listed phone number is (435) 512-6566.

What is Bradley Patch's specialty?

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

What insurance does Bradley Patch accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 5 other insurers list Bradley Patch 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 Patch was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.