Healthcare Provider Details

I. General information

NPI: 1275334252
Provider Name (Legal Business Name): BRADLEY WARREN HYLAN DMD BRECKSVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7770 BRECKSVILLE RD
BRECKSVILLE OH
44141-1000
US

IV. Provider business mailing address

7770 BRECKSVILLE RD
BRECKSVILLE OH
44141-1000
US

V. Phone/Fax

Practice location:
  • Phone: 216-835-4567
  • Fax:
Mailing address:
  • Phone: 216-835-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN HYLAN
Title or Position: MANAGER
Credential:
Phone: 216-835-4567