Provider Demographics
NPI:1073827770
Name:BRADLEY, MARGARET SHARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:SHARON
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14626 FM 2100 RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-9133
Mailing Address - Country:US
Mailing Address - Phone:281-328-3525
Mailing Address - Fax:281-328-7586
Practice Address - Street 1:14626 FM 2100 RD
Practice Address - Street 2:SUITE A
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9133
Practice Address - Country:US
Practice Address - Phone:281-328-3525
Practice Address - Fax:281-328-7586
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice