Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316293145 Individual Practitioner Male Practitioner

Dr. Bradley R Daniel , DMD

Dentist - General Practice • Ellington, MO

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Daniel, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ellington, MO. Practice services are available at 115 W WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 W Walnut St

Ellington, MO 636389300

Telephone 5736633177
Fax 5736633188
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ellington, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Ellington, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2012024991

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

315 W Mulberry Ste B

Pilot Knob, MO 636637883

Phone: 5735461001

101 E Batten Street

Naylor, MO 63953

Phone: 5738041779

1300 Victory Ln

Poplar Bluff, MO 639013300

Phone: 5737855566

2300 Baugh Ln

Poplar Bluff, MO 639012402

Phone: 5737853037

109 Plum St Ste D

Doniphan, MO 639351225

Phone: 5733512041

1407 N Westwood Blvd

Poplar Bluff, MO 639013315

Phone: 5737783042

1 Hals Plz Ste B

Piedmont, MO 639571631

Phone: 5732238902

603 E Summit St

Doniphan, MO 639351142

Phone: 5739963667

11001 Us-160

Harviell, MO 63945

Phone: 5738049561

711 Nickey St

Poplar Bluff, MO 639016544

Phone: 5737857047

3277 Us Highway 160 W

Doniphan, MO 639355710

Phone: 5738049527

289 Broadway St

Neelyville, MO 639547176

Phone: 5738049494

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Stephanie Bland , RDH

Dental Hygienist

NPI 1023510906

Registered Dental Hygienist

Meagan Berry , RHD

Dental Hygienist

NPI 1033420039
Jenny Russell

Dental Assistant

NPI 1356437024
Jeanie Mcclanahan

Dental Assistant

NPI 1376637728
NPI 1487861936

Doctor of Dental Surgery

NPI 1578574240

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location June 17, 2026

Registered at 115 W WALNUT ST, ELLINGTON, MO 636389300 (Tel: 5736633177)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Dentist (License #2012024991 in MO)

NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2017

Registered at 315 W MULBERRY, PILOT KNOB, MO 63663 (Tel: 5735461001)

📍
Updated Business Mailing Address August 02, 2017

Registered at 110 S 2ND ST, ELLINGTON, MO 636389400 (Tel: (573) 663-2313)

👤
Provider Name / Credentials Updated August 02, 2017

Recorded as BRADLEY DANIEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Dentist (License #2012024991 in MO)

📍
Updated Practice Location January 10, 2017

Registered at 1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 639013315 (Tel: 5737783042)

📍
Updated Business Mailing Address January 10, 2017

Registered at 110 S 2ND ST, ELLINGTON, MO 636389400 (Tel: 5736632313)

NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2012

Registered at 220 SOUTHLAND DR, SIKESTON, MO 638014403 (Tel: 5734714167)

📍
Updated Business Mailing Address September 24, 2012

Registered at 420 LINE ST, NEW MADRID, MO 638691734 (Tel: 5737482404)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as BRADLEY DANIEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Dentist (License #2012024991 in MO)

🟢
Initial NPI Registration & Enumeration July 30, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316293145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2012
Last Update: July 20, 2026
Sole Proprietor: No

Mailing Address

110 S 2nd St

Ellington, MO 636389400

Phone: 5736632313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.