Provider Demographics
NPI:1497961809
Name:ESCHLER, BRADFORD MICHAEL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:MICHAEL
Last Name:ESCHLER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 OKEMOS RD STE A2
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-4207
Mailing Address - Country:US
Mailing Address - Phone:517-347-7870
Mailing Address - Fax:517-347-0380
Practice Address - Street 1:3945 OKEMOS RD STE A2
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-4207
Practice Address - Country:US
Practice Address - Phone:517-347-7870
Practice Address - Fax:517-347-0380
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010127291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics