# BRIDGET B STEVENS,DDS,INC

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

## Provider details

- **NPI number:** 1881949840
- **Authorized official:** DR. BRIDGET BOGGS STEVENS DDS (DENTIST/OWNER)
- **Authorized official phone:** (304) 768-5616

## Contact information

- **Practice address:** 1226 OHIO AVE, DUNBAR, WV 25064-3020
- **Practice address phone:** (304) 768-5616
- **Practice address fax:** (304) 768-5617
- **Mailing address:** 1226 OHIO AVE, DUNBAR, WV 25064-3020
- **Mailing address phone:** (304) 768-5616
- **Mailing address fax:** (304) 768-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2883 | WV | Yes |

## Other

- **Enumeration date:** 07/16/2012
- **Last updated:** 06/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4005115000 | — | WV |