TAMISHA L BRIDGEFORTH RDA & DLT NPI 1679379655

NPI Information

  • NPI: 1679379655
  • Provider Name: TAMISHA L BRIDGEFORTH, RDA & DLT
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Individual
  • Address: 1768 PENDLETON ST APT 3
    MEMPHIS, TN
    ZIP 38114
  • Phone: (901) 828-0784

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NPI Details

Tamisha L Bridgeforth, RDA & DLT is a dental laboratory technician in Memphis, TN. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. Tamisha L Bridgeforth, RDA & DLT NPI is 1679379655. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1768 PENDLETON ST APT 3
MEMPHIS, TN
ZIP 38114-803
Phone: (901) 828-0784

The enumeration date for this NPI number is 2/20/2025 and was last updated on 2/20/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1126900000XDental Laboratory TechnicianTENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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