Provider Demographics
NPI:1740409846
Name:PARSONS, BRADFORD DONALD (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:DONALD
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 FRONT ST
Mailing Address - Street 2:BOX 187
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-1329
Mailing Address - Country:US
Mailing Address - Phone:781-545-0039
Mailing Address - Fax:781-545-9180
Practice Address - Street 1:173 FRONT ST
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1329
Practice Address - Country:US
Practice Address - Phone:781-545-0039
Practice Address - Fax:781-545-9180
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice