Provider Demographics
NPI:1164525150
Name:THOMPSON, LEDDEN & BRADLEY LLC
Entity Type:Organization
Organization Name:THOMPSON, LEDDEN & BRADLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-475-0100
Mailing Address - Street 1:2415 SILVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4520
Mailing Address - Country:US
Mailing Address - Phone:302-475-0100
Mailing Address - Fax:302-475-5550
Practice Address - Street 1:2415 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4520
Practice Address - Country:US
Practice Address - Phone:302-475-0100
Practice Address - Fax:302-475-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2018-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty