LIFE BRIDGE DENTAL DC PLLC NPI 1174109425

NPI Information

LIFE BRIDGE DENTAL DC PLLC is a general practice dentist in Washington, DC. The provider is 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. LIFE BRIDGE DENTAL DC PLLC NPI is 1174109425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 PENNSYLVANIA AVE NW
WASHINGTON, DC
ZIP 20580-001
Phone: (212) 686-3686
Fax: (615) 468-0325

The provider's authorized official is Kenneth Neil Sullivan .
The authorized official title is Director Of Patient Revenue and has the following contact phone number (212) 686-3686.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/18/2021.

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:

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