Provider Demographics
NPI:1972214757
Name:BRADLEY SAINSBURY, D.D.S., INC.
Entity Type:Organization
Organization Name:BRADLEY SAINSBURY, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:U
Authorized Official - Last Name:SAINSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:619-466-2774
Mailing Address - Street 1:7879 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0623
Mailing Address - Country:US
Mailing Address - Phone:619-466-2774
Mailing Address - Fax:619-466-2873
Practice Address - Street 1:7879 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0623
Practice Address - Country:US
Practice Address - Phone:619-466-2774
Practice Address - Fax:619-466-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental