Dr. Bradford L Klassman
Periodontist
1110 N Bancroft Pkwy
Wilmington
, Delaware 19805-2669
Dr. Bradford L Klassman
Periodontist
1110 N Bancroft Pkwy
Wilmington
, Delaware 19805-2669
(302) 652-1174
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Bradford L Klassman
- 1110 N Bancroft Pkwy
- Wilmington, DE
- Zip : 19805-2669
- Fax : (302) 652-1174
- Phone : (302) 658-7871
Second Address
- Dr. Bradford L Klassman
- 1110 N Bancroft Pkwy
- Wilmington, DE
- Zip : 19805-2669
- Fax : (302) 652-1174
- Phone : (302) 658-7871
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | G1-0001067 | DE |
National Provider Identifier
| NPI | 1053391706 |
|---|---|
| Provider Name | Dr. Bradford L Klassman |
| First Address | Wilmington, DE 19805-2669 |
| Second Address | Wilmington, DE 19805-2669 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 22/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.