IndividualActive
Bradley Mitchell, DMD
NPI 1720236128 · General Practice Dentistry · Waterloo, IL
Bradley Mitchell, DMD is a General Practice Dentistry provider in Waterloo, IL (NPI 1720236128).
Provider details
- NPI number
- 1720236128
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19015801 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
413 W 3rd St
Waterloo, IL 62298-1358
Phone: (618) 939-6128
Fax: (618) 939-6128
Street-level locationGet directions
Mailing address
413 W 3rd St
Waterloo, IL 62298-1358
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2008-08-28
Frequently asked questions
- What is Bradley Mitchell's NPI number?
- Bradley Mitchell's National Provider Identifier (NPI) is 1720236128, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Mitchell's specialty?
- Bradley Mitchell is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Bradley Mitchell located?
- Bradley Mitchell's practice location on file with NPPES is 413 W 3rd St, Waterloo, IL 62298-1358.
- What is Bradley Mitchell's phone number?
- The practice phone number listed in the NPPES registry for Bradley Mitchell is (618) 939-6128.
- Is Bradley Mitchell's NPI active?
- Yes — Bradley Mitchell's NPI (1720236128) is active in the NPPES registry as of the last update on 2008-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.