DR. SHANNITTA LATREASE BRIDGERS D.D.S. NPI 1083872915

NPI Information

DR. Shannitta Latrease Bridgers, D.D.S. is a pediatric dentistry dentist in Fayetteville, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Shannitta Latrease Bridgers, D.D.S. NPI is 1083872915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1367 WALTER REED RD
SUITE 103
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 485-8749

The enumeration date for this NPI number is 5/28/2008 and was last updated on 5/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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