IndividualActive
Bradley Deckelman, D.D.S.
NPI 1851023717 · General Practice Dentistry · Bryant, AR
Provider details
- NPI number
- 1851023717
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4619 (AR)
Specialties & taxonomies
Dental Providers
Practice location
2302 N Reynolds Rd
Bryant, AR 72022-2536
Phone: (501) 481-4763
Approximate (ZIP-level) locationGet directions
Mailing address
2302 N Reynolds Rd
Bryant, AR 72022-2536
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.