# BRIDGEWATER FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710240858
- **Authorized official:** DR. MARWAN BASSIL BASSIL D.M.D. (OWNER)
- **Authorized official phone:** (908) 722-6666

## Contact information

- **Practice address:** 676 ROUTE 202/206, BRIDGEWATER, NJ 08807-1761
- **Practice address phone:** (908) 722-6666
- **Practice address fax:** (908) 722-6667
- **Mailing address:** 676 ROUTE 202/206, BRIDGEWATER, NJ 08807-1761
- **Mailing address phone:** (908) 722-6666
- **Mailing address fax:** (908) 722-6667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 22 DI 02249700 | NJ | — |
| 1223G0001X | General Practice Dentistry | 22 DI 02312200 | NJ | — |
| 1223G0001X | General Practice Dentistry | 22DI020751 | NJ | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 07/30/2015