MEDICARE: BRADFORD FAMILY DENTISTRY, PL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 07445	FL

General Provider Information

NPI Number	:	1790781623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADFORD FAMILY DENTISTRY, PL

Provider Business Mailing Address
First Line	:	315 W CALL ST
Second Line	:
City	:	STARKE
State	:	FL
Zip	:	32091-3113
Country	:	US
Telephone Number	:	904-964-7501
Fax Number	:	904-964-7503

Provider Business Practice Location Address
First Line	:	315 WEST CALL STREET
Second Line	:
City	:	STARKE
State	:	FL
Zip	:	32091-3113
Country	:	US
Telephone Number	:	904-964-7501
Fax Number	:	904-964-7503

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. WILLIAM MARCHESE
Credential	:	D.M.D., R.PH.
Telephone Number	:	904-964-7501

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/21/2015

Similar Medicare Providers

1205915659 — DR. ADAM W MARCHESE DMD
Practice Location Address:

315 W CALL ST
STARKE, FL
32091-3113

Practice Phone: 904-964-7501
Practice Fax: 904-964-7503

1588864995 — AFTER HOURS CARE PA
Practice Location Address:

319 W CALL ST , SUITE A
STARKE, FL
32091-3113

Practice Phone: 904-966-2400
Practice Fax: 904-966-2407

1346572401 — SANDRA J MILNER ARNP
Practice Location Address:

319 W CALL ST , SUITE B
STARKE, FL
32091-3113

Practice Phone: 904-966-0000
Practice Fax: 904-966-0009

1659666808 — SLENTZ SURGICAL LLC
Practice Location Address:

319 W CALL ST , BLDG B STE A
STARKE, FL
32091-3113

Practice Phone: 908-368-8100
Practice Fax: 908-368-8120

1679988414 — WILLIAM MARCHESE
Practice Location Address:

315 W CALL ST
STARKE, FL
32091-3113

Practice Phone: 904-964-7501
Practice Fax: 904-964-7503

1457720369 — BILL MARCHESE, PL
Practice Location Address:

315 W CALL ST
STARKE, FL
32091-3113

Practice Phone: 904-964-7501
Practice Fax: 904-964-7503

Directions to “BRADFORD FAMILY DENTISTRY, PL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.