Provider Demographics
NPI:1457513632
Name:PINKOS, BRADFORD J (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:J
Last Name:PINKOS
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 1:33 SAXONY LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-2534
Mailing Address - Country:US
Mailing Address - Phone:203-733-5258
Mailing Address - Fax:
Practice Address - Street 1:29 PLANZ LN
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:CT
Practice Address - Zip Code:06752-1235
Practice Address - Country:US
Practice Address - Phone:860-799-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2017-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221571223G0001X
CT115461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice