Individual
DR. SHANNITTA LATREASE BRIDGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2255 TREELIGHT WAY, WENDELL, NC 27591
(919) 200-0463
Mailing address
2255 TREELIGHT WAY, WENDELL, NC 27591
(919) 200-0463
(910) 485-8398
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8568
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911135
—
NC
Enumeration date
05/28/2008
Last updated
05/08/2025
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