OrganizationActive
Bradford Dental Center
NPI 1346919511 · Federally Qualified Health Center (FQHC) · Bradford, PA
Provider details
- NPI number
- 1346919511
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Keystone Rural Health Consortia, Inc
- Organization subpart
- Yes
- Authorized official
- Kristie Bennardi, Ceo(814) 245-2119
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Chestnut Street Ext Ste B
Bradford, PA 16701-5438
Phone: (814) 366-5955
Fax: (814) 366-5990
Street-level locationGet directions
Mailing address
Po Box 270
Emporium, PA 15834-0270
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
- Certified
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.