IndividualActive
Brent Bradley, D.D.S
NPI 1124088166 · Pediatric Dentistry · Rapid City, SD
Provider details
- NPI number
- 1124088166
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- M864 (SD)
Specialties & taxonomies
Dental Providers
Practice location
700 Sheridan Lake Rd
Rapid City, SD 57702-2407
Phone: (605) 341-3068
Approximate (ZIP-level) locationGet directions
Mailing address
700 Sheridan Lake Rd
Rapid City, SD 57702-2407
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2007-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.