Dr. John Dwight Bradshaw , DDS
Dentist - General Practice • Suffolk, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bradshaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Bradshaw, DDS was a registered Dentist - General Practice practicing in Suffolk, VA. Throughout an active medical career spanning 16 years, Dr. Bradshaw provided care at the practice location at 5501 BENNETTS PASTURE RD STE D until profile deactivation on 2023-01-11.
Practice Location & Contact Primary Location
5501 Bennetts Pasture Rd Ste D
Suffolk, VA 234351500
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Suffolk, VA
Practicing in Suffolk, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Medicine
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 11, 2023
NPI status registered as active in NPPES database
Registered at 5501 BENNETTS PASTURE RD STE D, SUFFOLK, VA 234351500 (Tel: 7574841444)
Registered at 5501 BENNETTS PASTURE RD STE D, SUFFOLK, VA 234351500 (Tel: 7574841444)
Recorded as JOHN BRADSHAW, DDS
Dentist (License #04985 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5501 Bennetts Pasture Rd Ste D
Suffolk, VA 234351500
Phone: 7574841444
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