IndividualActive
Bradford Edgren, DDS, MS
NPI 1063532448 · Orthodontics and Dentofacial Orthopedics Dentistry · Greeley, CO
Provider details
- NPI number
- 1063532448
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 6883 (CO)
Specialties & taxonomies
Dental Providers
Practice location
3400 W 16th St
Bldg 4-V
Greeley, CO 80634-6862
Phone: (970) 356-5900
Fax: (970) 356-2418
Approximate (ZIP-level) locationGet directions
Mailing address
3400 W 16th St
Greeley, CO 80634-6862
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.