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General NPI Number Information
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NPI Number | 1245197672
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Entity Type | Organization
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Legal Business Name | MAY RIVER ENDODONTICS LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 255 NEW RIVERSIDE VILLAGE WAY UNIT 203
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City | BLUFFTON
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State | SC
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Zip | 29910-3448
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Country | US
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Telephone | 843-949-4945
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Fax | 843-949-4947
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Provider Business Mailing Address
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Address Line | 255 NEW RIVERSIDE VILLAGE WAY UNIT 203
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City | BLUFFTON
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State | SC
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Zip | 29910-3448
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Country | US
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Telephone | 843-949-4945
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Fax | 843-949-4947
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW BRADLEY
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Credential | DMD
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Telephone | 843-949-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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