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Chadwyck Bradley, DMD — NPI 1679721054, Kirtland Afb, NM | NPI Central

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NPI 1679721054

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Chadwyck Bradley, DMD

NPI 1679721054 · Dentist · Kirtland Afb, NM

Provider details

NPI number: 1679721054
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 58624 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense DD3940 (NM)
Dental Providers
Dentist122300000XLicense 58624 (CA)
Dental Providers
Dentist122300000XLicense D7651 (AZ)
Dental Providers

Practice location

2050 a Second Street Se

Kirtland Afb, NM 87117-5153

Phone: (505) 846-3027

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

2050 a Second St Se

Kirtland Afb, NM 87117-0001

Registry dates

Enumerated: 2008-08-28
Last updated: 2021-03-26
Certified: 2021-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.